A nurse provides teaching for a 25-year-old patient who will receive mitoxantrone [Novantrone] for worsening relapsing-remitting multiple sclerosis. Which statement by the patient indicates a need for further teaching?

a. "I may experience cardiac side effects several years after receiving this drug."
b. "I should report fever, chills, cough, and hoarseness immediately."
c. "I will need an infusion of this medication once weekly."
d. "I will need a liver function test and a pregnancy test before each dose."