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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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jiwoonater jiwoonater
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6 years ago
A nurse provides teaching to a patient who is about to receive a first dose of fingolimod (Gilenya). Which statement by the patient indicates a need for further teaching?
 
  a. I may experience a rapid heart rate and palpitations with the first dose.
  b. I should report nausea, vomiting, poor appetite, and dark urine.
  c. I will need an ophthalmologic examination before beginning treatment.
  d. I will need to remain in an observation unit for 6 hours after the first dose.
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#1
6 years ago
ANS: A
Tachycardia and palpitations are not adverse effects associated with fingolimod. Nausea and vomiting (N/V), anorexia, and dark urine are associated with liver injury related to fingolimod and should be reported. Macular edema may occur, so a baseline ophthalmologic examination should be performed. Bradycardia may occur, which diminishes after the first dose. Patients receiving the first dose should be observed for 6 hours before going home.
jiwoonater Author
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#2
6 years ago
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