A patient who has been diagnosed with rheumatoid arthritis for 1 month and has generalized symptoms is taking high-dose NSAIDS and an oral glucocorticoid. The provider has prescribed methotrexate. The patient asks the nurse why methotrexate is necessary since pain and swelling have been well controlled with the other medications. The nurse will tell the patient that:
A methotrexate regimen will prevent fatal toxicities.
Starting methotrexate early can delay the disease process of joint degeneration.
Starting methotrexate now will help increase life expectancy.
The Correct Answer is B
Choice A rationale: While methotrexate can help prevent fatal toxicities associated with rheumatoid arthritis, this is not the primary reason for its use in this context.
Choice B rationale: This is correct. Starting methotrexate early in the course of rheumatoid arthritis can help delay the disease process of joint degeneration and prevent irreversible damage.
Choice C rationale: While controlling symptoms is important for the patient's quality of life, starting methotrexate is more about preventing joint damage and progression of the disease than increasing life expectancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Respiratory depression can occur and persist for hours after the removal of a fentanyl patch. It is crucial to monitor respiratory status closely and be aware of the potential delayed onset of respiratory depression.
Choice B rationale: Fentanyl, like any opioid, carries risks, and safety precautions should be observed. However, it is not completely without risks, especially in certain populations or situations.
Choice C rationale: Using a heating pad with a fentanyl patch is not recommended, as it can increase drug absorption and the risk of overdose.
Choice D rationale: Fentanyl patches have a delayed onset of action, and the patient will not experience immediate pain relief. It may take several hours for the full effect to be achieved after the application of the patch.
Correct Answer is B
Explanation
Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.
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