A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
Dietary modifications occur during pregnancy when taking this medication.
The client can breast feed when taking this medication.
Dosage of the medication will be reduced during pregnancy.
The medication should be discontinued 3 months prior to a planned pregnancy.
The Correct Answer is D
Methotrexate is a medication that interferes with cell division and can cause birth defects or miscarriage if taken during pregnancy. The medication can also pass into breast milk and harm the baby. Therefore, the nurse should advise the client to stop taking methotrexate at least 3 months before trying to conceive and to use effective contraception while on the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
This is because sputum culture can identify the presence and type of mycobacteria that cause TB, while other tests can only indicate exposure or infection. Sputum culture results may take several weeks, so treatment should be initiated based on clinical suspicion and other tests.
Correct Answer is ["A","D","E"]
Explanation
This is because these medications are antimycobacterial agents that inhibit the growth and replication of Mycobacterium tuberculosis, the bacterium that causes tuberculosis. Acyclovir is an antiviral medication that is used to treat herpes simplex virus infections, and montelukast is a leukotriene receptor antagonist that is used to prevent asthma attacks.
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