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

A. Taking the medication on an empty stomach is not necessary
B. Storing the medication at room temperature is correct to prevent degradation and reduced efficacy.
C. The duration of treatment with nystatin suspension varies depending on the severity of the infection as fungal infections require days to weeks to clear completely

D.After swishing, it's usually recommended to hold the medicine in the mouth for as long as possible before swallowing, to maximize its effectiveness

A. Complete an incident report B. Contact the provider for further orders. C. Administer the blood ordered. D. Notify the blood bank.

Correct Answer is C

Explanation

Administering the blood as ordered is the right action to take. This is because type O negative blood group is a universal donor and can be safely given to all blood groups.

Completing an incident report is not necessary. This is because type O negative blood group is safe when given to recipients of all blood groups.

Contacting the provider is unnecessary at this point. The type O negative blood group is safe and hence no need for further clarification.

Type O negative blood is a universal donor and is safe in this client. It is therefore, unnecessary to notify the blood bank.

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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 providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer blood to a client. The unit of blood on hand is type O negative, and the client has type A positive blood. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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