A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?
Handle in an area with controlled ventilation.
Wear an N95 mask.
Don a protective gown.
Apply gloves.
The Correct Answer is D
A. Handle in an area with controlled ventilation: Controlled ventilation is generally required for aerosolized or powdered hazardous medications, not for standard oral methotrexate tablets. This level of control is unnecessary for oral administration.
B. Wear an N95 mask: Respiratory protection is not required when administering oral methotrexate, as the risk of inhalation is minimal. Masks are reserved for procedures generating airborne particles of hazardous drugs.
C. Don a protective gown: A protective gown is recommended if there is a risk of the medication contacting skin or clothing, such as with injectable or crushed hazardous drugs. Oral tablets taken by the client do not pose this risk.
D. Apply gloves: Gloves should be worn when handling oral methotrexate tablets to prevent skin contact with the cytotoxic drug. Methotrexate is teratogenic and can be absorbed through the skin, making gloves an essential safety measure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reason: The prescription does not specify the indication for ondansetron, such as nausea or vomiting. Clarifying the reason ensures the medication is appropriate for the client’s condition and supports safe and effective administration.
B. Dose: The dose of 8 mg is within the recommended range for adults and does not require clarification. It is appropriate for PRN administration for nausea or vomiting.
C. Route: The route “by mouth” (PO) is clearly specified and appropriate for ondansetron tablets. No clarification is needed unless the client cannot take oral medications.
D. Frequency: The frequency “every 12 hr PRN” is clearly indicated, specifying that the medication is to be taken as needed up to every 12 hours. This does not require clarification.
Correct Answer is D
Explanation
A. "I should check the client's gastric residual prior to initiating TPN.": Gastric residual monitoring applies to enteral nutrition, not parenteral. TPN bypasses the gastrointestinal tract entirely, so gastric residual checks are unnecessary.
B. "Clients who require long-term nutritional support are prescribed TPN.": Long-term nutrition is often managed with enteral feeding when possible. TPN is reserved for clients who cannot use their GI tract due to conditions like bowel obstruction or severe malabsorption.
C. "I should administer TPN intravenously over 6 hr.": TPN is infused continuously over 24 hours using an infusion pump to maintain stable glucose levels and prevent complications such as hypoglycemia or osmotic diuresis. A 6-hour infusion is unsafe.
D. "TPN is administered for clients who are unable to absorb nutrients from their intestinal tract.": This statement is accurate. TPN provides essential nutrients intravenously for clients with nonfunctional or severely impaired GI tracts, ensuring adequate nutrition and metabolic support.
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