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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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
Correct Answer is D
Explanation
D. Garlic is used for its lipid lowering effects which lower the risk of cardiovascular EVENTS. In addition to this, it has anti-platelet effects increasing risk of bleeding when used with warfarin.
A and B Garlic has no sedative, analgesic effect.
C. Garlic has positive effects on lipid lowering which is not of concern.
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