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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

This is because some influenza vaccines are prepared using chicken eggs and may contain trace amounts of egg protein, which can cause an allergic reaction in some people.

A. Scalp B. Genitalia C. Mouth D. Extremities

Correct Answer is C

Explanation

This is because HSV-1 typically causes oral herpes, which manifests as cold sores or fever blisters around the mouth or lips.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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