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 C
Explanation
C. nasal decongestants cause vasoconstriction to reduce blood flow and secretions. On wearing off, the vessels dilate causing rebound nasal congestion
A. Oral formulation is less potent
B. Oral formulation have longer duration of effect that could cause systemic side effects
D. nasal sprays have immediate action as they bypass metabolism
Correct Answer is C
Explanation
immunosuppression with no pool of white blood cells to fight against infection, fever occurs as a result of production of inflammatory markers against infection
B. In bone marrow suppression the white blood cells are low
A, D.Are general symptoms that could be as a result of other non-infective pathologies
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