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

Soy contains compounds called isoflavones, which inhibit the absorption of levothyroxine in the gastrointestinal tract, leading to decreased blood levels and effectiveness of the medication.

A. Saw palmetto does not interact significantly with levothyroxine.

C. Cranberry does not have significant interactions with levothyroxine.

D. Garlic does not interact significantly with levothyroxine.

A. “I will take the medication on an empty stomach” B. "l will store the medication at room temperature." C. "I Will only need to take this medication for a few days." D. "1 will spit the medication out after swishing it around my mouth."

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

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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 a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid Which of the following herbal supplements?

Correct Answer is B

Explanation

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

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