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

Vasopressin (ADH) is used to treat diabetes insipidus by increasing water reabsorption in the kidneys, thereby decreasing urine output. Therefore, a decrease in urine output would indicate that the medication is effective in managing the condition. Options

A- Water retention increases blood pressure and not vice versa

C- Water retention leads to increased specific gravity of urine

D- Vasopressin has no effect on blood glucose

A. Increase intake of fluids while using this medication. B. Wash the affected area with soap and water before applying cream. C. The medication might cause temporary blurred Vision. D. Apply the cream to large areas around the infection.

Correct Answer is B

Explanation

washing the affected area with soap and water before applying the cream remove any debris that may interfere with absorption of the drug allowing for optimal concentration for clearance of the infection.
A. Increasing fluid intake is not specifically related to the use of gentamicin topical cream.
C. Topical gentamicin cream does not have adverse effects associated with systemic formulations hence no reported blurred vision
D. Application is only recommended for affected areas.

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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

A nurse is caring for a client Who has diabetes insipidus and is receiving vasopressin. The nurse should identify Which of the following findings as an indication that the medication is effective?

Correct Answer is B

Explanation

A nurse is providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?

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A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?