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 C

Explanation

A) "Discard expired medication down the toilet":
Incorrect. Flushing medications down the toilet can lead to contamination of water supplies and harm the environment. This method is not recommended except for certain medications that specifically instruct this disposal method.

B) "Pour expired medication tablets into a waste basket":
Incorrect. Disposing of medication in a waste basket can pose risks of accidental ingestion by children, pets, or wildlife, and it does not prevent the potential misuse of medications.

C) "Return expired medication to the pharmacist":
Correct. Returning expired medications to the pharmacist is the safest and most environmentally friendly option. Pharmacists can ensure the medications are disposed of properly according to local regulations, which may include methods like incineration or using drug take-back programs.

D) "Crush expired medication tablets and rinse them down the sink":
Incorrect. Similar to flushing down the toilet, rinsing crushed medications down the sink can lead to water contamination. This method is not environmentally safe.

A. "Refusing the injection means you will not get better."" B. "You should not feel anything more than a minor sting from the injection." C. "I will discuss other treatments options with your provider." D. "You must take this medication because there is no other option to treat this infection."

Correct Answer is C

Explanation

A) "Refusing the injection means you will not get better."
This response may induce fear or anxiety in the client and is not therapeutic. It does not address the client's concerns and does not provide information about alternative treatment options.

B) "You should not feel anything more than a minor sting from the injection."
While this statement aims to reassure the client, it may not alleviate their fear of needles. Additionally, it may not accurately reflect the client's experience, as pain perception varies among individuals. Furthermore, focusing solely on the injection's pain level may not address the client's underlying fear of needles.

C) "I will discuss other treatment options with your provider."
This response acknowledges the client's fear of needles and indicates the nurse's willingness to explore alternative treatment options. It promotes open communication and collaboration between the nurse, client, and healthcare provider to find a suitable solution that addresses the client's concerns while effectively treating the infection.

D) "You must take this medication because there is no other option to treat this infection."
This response may increase the client's anxiety and resistance to treatment. It does not respect the client's autonomy or address their fear of needles. Additionally, there may be alternative treatment options available that the client could consider with the guidance of their healthcare provider.

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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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