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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rifampin causes harmless discoloration of bodily fluids, including urine, sweat, saliva, and tears, to an orange-red color. Other side effects include gastrointestinal side effects such as nausea, vomiting, and diarrhea.
A. Rifampin should be taken on an empty stomach, as food can interfere with its absorption.
B. Insomnia is not a common side effect of rifampin
D. Treatment for tuberculosis goes on for at least 6 to 9 months. Treatment duration varies depending on the specific regimen and the severity of the infection.
Correct Answer is D
Explanation
Taking ferrous sulfate between meals enhances its absorption as some food substances can interfere with iron absorption. Therefore, it is generally recommended to take ferrous sulfate on an empty stomach, typically 1 hour before meals or 2 hours after meals. However, if gastrointestinal upset occurs when taking ferrous sulfate on an empty stomach, it can be taken with a small amount of food to minimize discomfort.
A. Antacids containing aluminum, calcium, or magnesium can bind with iron and reduce its absorption.
B. Dairy products, including yogurt, can also inhibit iron absorption due to the presence of calcium.
C. Taking it at bedtime increases the likelihood of gastrointestinal discomfort reducing its effectiveness due to interference from food.
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