The client receives interferon alfa-2b (Intron-A) for treatment of Kaposi's sarcoma. Which question by the client would alert the nurse that additional assessment is necessary?
1. "I really feel sad; do I need to see a psychiatrist?"
2. "Is it safe to drink grapefruit juice with this medication?"
3. "Do I need to limit my fluids while on this medication?"
4. "Is it okay to use aspirin or ibuprofen products while on this medication?"
1
Rationale 1: Use of immunostimulant drugs can lead to the development of encephalopathy. Assess mental status and be especially vigilant for signs and symptoms of depression and suicidal ideation.
Rationale 2: There is no relationship between interferon alfa-2b (Intron-A) and grapefruit juice.
Rationale 3: There is no relationship between limiting fluids and interferon alfa-2b (Intron-A).
Rationale 4: There is no relationship between interferon alfa-2b (Intron-A) and aspirin or ibuprofen products.
Global Rationale: Use of immunostimulant drugs can lead to the development of encephalopathy. Assess mental status and be especially vigilant for signs and symptoms of depression and suicidal ideation. There is no relationship between interferon alfa-2b (Intron-A) and grapefruit juice. There is no relationship between limiting fluids and interferon alfa-2b (Intron-A). There is no relationship between interferon alfa-2b (Intron-A) and aspirin or ibuprofen products.
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