A patient is about to begin therapy with fingolimod [Gilenya] to treat multiple sclerosis. The nurse learns that the patient has not had chickenpox or the varicella zoster virus (VZV) vaccine. What will the nurse do?
a. Advise the patient to avoid individuals with chickenpox.
b. Give the VZV vaccine with the initial dose of fingolimod.
c. Give the VZV vaccine and tell the patient to begin using fingolimod in 1 month.
d. Obtain an order for a VZV antibody test.
D
Patients who have not had chickenpox or the VZV vaccine should be tested for VZV antibodies before receiving fingolimod. It is not correct to advise patients to avoid people with chickenpox, because this disease is endemic. Patients who do not have VZV antibodies should receive the VZV vaccine 1 month before beginning the fingolimod. The VZV vaccine should be given only to those who do not have VZV antibodies.
You might also like to view...
Which laboratory result does the nurse identify as a direct result of the client's hypovolemic status with hemoconcentration?
A) Abnormal potassium level B) Elevated hematocrit level C) Low white blood count D) Low urine specific gravity
You are caring for a client with an inoperable brain tumor. What is a major threat to this client?
A) Increased ICP B) Decreased ICP C) Hypervolemia D) Hypovolemia
An important concept for the nurse to remember about a client who is of the Russian Orthodox religion is that they:
a. have no dietary restrictions except to abstain from alcohol. b. may request that the nurse baptize an ill newborn infant. c. will request that the cross necklace they wear should not be removed until absolutely necessary. d. will usually request cremation instead of burial.
A client's wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called:
1. autolytic debridement. 2. enzymatic debridement. 3. mechanical debridement. 4. sharp debridement.