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?"
Correct Answer: 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.
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