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A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?

Don a protective gown.

Apply gloves.

Handle in an area with controlled ventilation.

Wear an N95 mask.

Answer and Explanation

The Correct Answer is A

A. Methotrexate is a chemotherapy agent and can be toxic. A protective gown should be worn to protect against exposure.

B. Gloves should also be worn, but a gown is necessary for additional protection.

C. Controlled ventilation is not necessary when administering an oral tablet of methotrexate.

D. An N95 mask is not required unless handling an aerosolized form of methotrexate, which is not the case here.

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Correct Answer is D

Explanation

A. Monitoring weight weekly is important for tracking nutritional status but does not directly prevent adverse effects of TPN.

B. Performing blood glucose monitoring hourly is excessive unless the client has a significant issue with blood glucose control.

C. Changing the IV dressing every 96 hours is too long; the dressing should be changed every 48–72 hours to prevent infection.

D. Changing the IV tubing every 24 hours is correct to reduce the risk of infection and contamination in TPN administration.

A. Severe headache B. Rapid rise in temperature C. Hypertension D. Tachycardia

Correct Answer is A

Explanation

A. Severe headache can result from epidural anesthesia due to post-dural puncture headache caused by leakage of cerebrospinal fluid.

B. Rapid rise in temperature may indicate infection but is not a common reaction to epidural anesthesia.

C. Hypertension is not a common adverse effect of epidural anesthesia; in fact, hypotension is more typical due to sympathetic blockade.

D. Tachycardia is not a typical adverse reaction, and the most likely response to epidural anesthesia is bradycardia due to autonomic blockade.

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A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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