A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?

Tinnitus

Fever

Paresthesia

Oliguria

Answer and Explanation

The Correct Answer is B

A) Tinnitus: Tinnitus (ringing in the ears) is not typically associated with interferon therapy. It is more commonly associated with medications such as certain antibiotics, diuretics, and nonsteroidal anti-inflammatory drugs (NSAIDs).

B) Fever: This is the correct answer. Fever is a common adverse effect of interferon therapy. Interferons are cytokines that can cause flu-like symptoms, including fever, chills, muscle aches, and fatigue. Fever is often seen as an immediate response to interferon administration and may resolve with continued therapy.

C) Paresthesia: Paresthesia (abnormal sensation such as tingling or numbness) is not a common adverse effect of interferon therapy. It is more commonly associated with neurological conditions or peripheral neuropathies.

D) Oliguria: Oliguria (decreased urine output) is not a typical adverse effect of interferon therapy. It may indicate renal dysfunction or dehydration but is not directly associated with interferon administration.

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Correct Answer is B

Explanation

Answer: B. Keep the solution refrigerated until 1 hr before infusion.

Rationale:

A) Obtain the client's weight three times a week: While monitoring weight is essential to assess fluid balance and nutritional status in clients receiving TPN, daily weight measurements are more appropriate to detect rapid changes.

B) Keep the solution refrigerated until 1 hr before infusion: TPN solutions should be refrigerated to prevent bacterial growth and maintain stability. Removing the solution from refrigeration 1 hour before infusion allows it to warm to room temperature, reducing the risk of discomfort during administration.

C) Change the solution every 36 hr: TPN solutions should be changed every 24 hours to minimize the risk of bacterial contamination and infection, especially since the high glucose content is a favorable medium for bacterial growth.

D) Check the client's WBC count daily: While monitoring for infection is vital, checking the WBC count daily is not a routine requirement unless the client shows signs of infection or complications. Regular temperature checks and observing for clinical signs of infection are usually sufficient.

A. "If a dose is missed, take the medication as soon as you remember." B. "Limit your salt intake to 1500 mg/day." C. "Check your heart rate 1 hour after taking the medication." D. "Visual changes during the first few days are expected."

Correct Answer is C

Explanation

A. “If a dose is missed, take the medication as soon as you remember”: While this is generally good advice for some medications, it’s not always the case with digoxin due to its narrow therapeutic index. If it’s almost time for the next dose, it’s usually recommended to skip the missed dose to avoid potential toxicity.

B. “Limit your salt intake to 1500 mg/day”: While limiting salt intake can be beneficial for heart health, it’s not specifically related to digoxin use. Digoxin does not interact with dietary salt.

C. “Check your heart rate 1 hour after taking the medication”: This is an important safety measure when taking digoxin. Digoxin slows the heart rate and increases the force of heart contractions. Checking the heart rate helps to ensure it’s not too slow, which could be a sign of digoxin toxicity.

D. “Visual changes during the first few days are expected”: Visual changes are not typically expected with digoxin use. If visual changes occur, such as blurred vision or seeing halos around lights, it could be a sign of digoxin toxicity and the healthcare provider should be notified.

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A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?

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Explanation

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