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 B

Explanation

B. Rationale- Beta 2 adrenergic receptors are found on the airways. Beta adrenergic agonists bind on them to stimulate bronchial dilatation relieving obstruction in airway obstructive diseases.
A. Alpha 1 adrenergic receptors are found on the blood vessels
C. Beta receptors are found on the myocardium
D. Dopaminergic receptors are found in the brain

A. Gastrointestinal (Gl) mucous membrane cells B. Nerve myelin cells C. Hair follicle cells D. Bone marrow cells E. Retinal cells

Correct Answer is ["A","C","D"]

Explanation

GI, Hair follicles and bone marrow cells are rapidly dividing which are commonly affected by chemotherapeutic agents and other drugs that inhibit or alters DNA synthesis.

Nerve myelin and retinal cells are not rapidly dividing.

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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

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

Correct Answer is B

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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