A Patient Is About to Begin Therapy with Fingolimod [Gilenya]

Multiple Choice

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.