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

Rationale- Sucralfate is used for coating the lining of gastric ulcers to prevent exposure to acid allowing for healing. It binds to protein containing exudate to form a paste-like substance that coats the ulcers.

B-Sucralfate has no effect of quality of vision

C-Sucralfate has no role in prophylaxis in infections

D-Sucralfate relieves pain in H. Pylori induced gastric ulcers but no effect of infection control

A. Increase caffeine intake. B. Reduce calorie intake. C. Take this medication before bedtime. D. Avoid activities that require alertness such as driving.

Correct Answer is D

Explanation

Methylphenidate is a CNS agent used in the management of ADHD. It has the potential to cause dizziness or drowsiness and clients should be advised to avoid driving or operation of any machinery as it may lead to accidents.

A- Methylphenidate is a CNS agent used in the management of ADHD. It has nopotential interaction with caffeine.

B- Methylphenidate caused significant decrease in appetite with subsequent weight loss. The parents should be advised to increase the client’s caloric intake to promote healthy weight gain.

C- Methylphenidate causes insomnia and taking the medication right before bedtime leads to poor sleep pattern.

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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 is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?

Correct Answer is A

Explanation

A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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?

A nurse is teaching a client Who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

A nurse is teaching a client Who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?