A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide?
Take the medication in the morning to prevent insomnia.
Drink 2 to 3 L of water per day while on the medication.
Expect to have a fever for the first days of therapy.
Administer the medication with an NSAID to enhance effectiveness.
The Correct Answer is B
A. Methotrexate is not typically associated with insomnia, and the timing of administration should be according to the provider's instructions.
B. Drinking 2 to 3 L of water per day helps prevent kidney damage and reduces the risk of side effects such as methotrexate toxicity.
C. Fever is not a common expected side effect of methotrexate and should be reported to the provider.
D. Combining methotrexate with NSAIDs can increase the risk of toxicity; this should only be done under direct medical supervision.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement is incorrect as it describes a condition related to diabetes insipidus, not diabetes mellitus.
B. This statement describes the autoimmune process in Type 1 diabetes, not Type 2 diabetes.
C. This statement is inaccurate for Type 2 diabetes; it is more related to acute pancreatitis or Type 1 diabetes.
D. Type 2 diabetes mellitus is characterized by insulin resistance and decreased insulin secretion by the pancreas.
Correct Answer is B
Explanation
A. Hypoglycemia is not a risk factor for metabolic syndrome; hyperglycemia is more relevant.
B. A large waist size (abdominal obesity) is a significant risk factor for metabolic syndrome, which includes a cluster of conditions such as increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels.
C. History of asthma is not directly related to metabolic syndrome.
D. Hypotension is not a risk factor for metabolic syndrome; hypertension is more relevant.
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