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 A
Explanation
A. Corticosteroid are anti-inflammatory which reduce pain in tendonitis
B. Antidepressants are used for depression
C. Anticonvulsant are used for epilepsy
D. Local anesthesia is used during local surgical procedures or before administration of painful medications
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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