A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)
Avoid people who have infections.
Practice frequent hand hygiene.
Do not drink alcoholic beverages while taking this medication.
Smoking will not affect this medication.
Expect to feel the medication's effects immediately.
Correct Answer : A,B,C
Methotrexate inhibits the synthesis of purines. Purines and pyrimidines are the building blocks of DNA synthesis in every cell in the body. It affects the production of white blood cells and hence lowers the immunity and hence the client is at a higher risk for infections
Avoiding infected persons and hand hygiene prevents infections. Alcohol should be avoided as it increases the risk of liver damage
E-it takes several weeks to months to produce its effects
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Related Questions
Correct Answer is C
Explanation
A, B and D- The phenomenon is not related to the liver’s ability to metabolize the drug and its is not a fluctuating phenomenon
Correct Answer is D
Explanation
Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding
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