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 B

Explanation

This is because basal cell carcinoma originates from the basal layer of the epidermis, which does not have access to blood vessels or lymphatics that can facilitate spreading to other organs. Basal cell carcinoma usually grows slowly and locally, and can be treated with surgery or radiation.

A. Propranolol B. Theophylline C. Montelukast D. Prednisone

Correct Answer is A

Explanation

The nurse should clarify with the provider why this medication is ordered and if there are any alternatives that are safer for the client. The other medications are appropriate for a client who has asthma.

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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

A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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