A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

Take an antiemetic 1 hr following administration.

Take the medication with an NSAID.

Drink 2 to 3 L Of water per day.

Rinse mouth 2 times per day with an alcohol-based mouthwash.

Answer and Explanation

The Correct Answer is C

Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A-Although methotrexate can cause nausea and vomiting, this does not always happen, therefore, no need for the antiemetic before intake
B-Taking methotrexate with an NSAID increases risk of gastrointestinal irritation
D-Methotrexate cause stomatitis which may be aggravated by use of alcohol-based mouth wash

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Correct Answer is A

Explanation

flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.

B. calcium supplements do not cause hepatitis

C. Calcium supplementation do not cause peptic ulcers

D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain

A. Coffee B. Milk C. Alcohol D. Grapefruit juice

Correct Answer is C

Explanation

Glimepiride is a sulphonylurea. It stimulates the pancreatic beta cells to produce insulin. It has potential for causing hypoglycemiaa. Alcohol intoxication also causes hypoglycemia worsening the risk of hypoglycemia when used with glimepiride
A, B, D- do not have significant interaction with glimepiride.

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A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is C

Explanation

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A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?