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 B

Explanation

Amphotericin B causes renal injury and baseline renal function is an important predictor of risk of nephrotoxicity. A BUN of 55mg/mL indicates already compromised renal function and hence requires follow up due to risk of further damage.
A. Sodium level within the normal range (140 mEq/L) is a contraindication for initiating amphotericin B therapy.
C. Amphotericin B causes hypokalemia buy potassium level of 4.5 is within the normal range.
D. Glucose level within the normal range (120 mg/dL) is not a contraindication for initiating amphotericin B therapy.

A. “Warm the ointment by placing the tube in glass of hot tap water” B. "Discard the first bead of ointment before each application." C. "Instruct your child to squeeze his eyes shut following application." D. "Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment."

Correct Answer is B

Explanation

the first bead of ointment may be contaminated with bacteria from the tip of the tube or the surrounding skin. Discarding this initial bead ensures that the subsequent application is sterile and reduces the risk of introducing infection into the eye.

A. Warming the ointment by placing the tube in hot tap water alters the consistency of the ointment and can potentially cause burns to the child's delicate eye tissue.

C. Instructing the child to squeeze his eyes shut following application is not necessary. The eyes should be closed gently

D. Cleansing the eye should be done from the inner corner moving outward

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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?

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Naxlex Comprehensive Predictor Exams

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