A patient with multiple sclerosis is admitted to the unit for an acute exacerbation and is given interferon beta-1a (Avonex). What questions related to adverse effects should the nurse include in the physical assessment?
a. "Are you experiencing any gastrointestinal upset or diarrhea?"
b. "Do you have a headache, chills, or muscle aches?"
c. "Are you having any swelling in your legs or shortness of breath?"
d. "Do you have or have you experienced any ringing in your ears?"
B
Assessment of the patient should include assessing for flulike symptoms, which often are adverse effects associated with interferon beta-1a.
Interferon beta-1a does not have the adverse effect of gastrointestinal symptoms.
Swelling in the legs and shortness of breath may indicate cardiotoxicity, which is seen most often with mitoxantrone, not interferon beta-1a.
Tinnitus is not an adverse effect of interferon beta-1a.
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