A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count.

Explain to the client that this is an expected adverse effect.

Instruct the client to use an electric toothbrush.

Have the client make an appointment to see the dentist.

Answer and Explanation

The Correct Answer is A

A. Methotrexate can lead to decreased DNA synthesis in the bone marrow leading to low platelets count.
B. It should be anticipated but should be addressed
C. Electric brush does not address the underlying issue
D. low platelets could lead to life-threatening bleeding and hence should be addressed immediately

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Correct Answer is C

Explanation

C. Red blood cells carry oxygen to the body tissue to provide energy
A. White blood cells fight infections
B. Albumin is a protein synthesized by the liver-unaffected by chemotherapy
D. Platelets are used for blood clotting

A. Verifying orders with another nurse B. Counting medications in the medication cart drawers C. Checking the client's identification using two identifiers D. Documenting the medications given

Correct Answer is C

Explanation

The main precaution during medication administration is to ensure the right medication is given to the right client for safety.

All the other options are important but not a priority

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A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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