Question

1. The patient with relapsing remitting multiple sclerosis asks why continuous treatment with interferon beta- 1a (avonex – disease modifying drug) is necessary. The best response is

• This medication is given IM weekly to determine effectiveness
• This medication is given IM weekly to stop the progressing of the disease
• This medication is given IM weekly to help decrease the frequency and severity of exacerbation
• This medication is given IM weekly and will protect your muscle from spasticity

2. Which statement by a client would alert the nurse to the possibility of right sided hear failure?

• I have trouble catching my breath
• I sleep with four pillow at night
• I wake up coughing every night
• My shoes fit really tight

Answer 1

Answer 1.

The medicine is given IM weekly to help decrease the frequency and severity of exacerbation.

Rationale: Avonex is a disease modifying drug which helps to reduce disability progression, but it will not stop the progression of disease. and experience fewer exacerbations, and reduction of number of size of active lesions in the brain.

Answer 2.

My shoe fit really tight

Rationale: When the person has right sided heart failure, the right chamber will not be able to pump properly which leads to improper filling of heart with blood and blood backs up in to the veins and causes edema in the legs and ankles.