Methotrexate is ordered for a client with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the client receiving methotrexate? (Select all that apply.)
Hair loss is not expected with this drug.
Avoid foods that are too hot or too cold or rough in texture.
Avoid areas with large crowds or gatherings.
Prepare for hair loss.
Restrict fluid intake to reduce nausea and vomiting.
Correct Answer : B,C,D
methotrexate interferes with DNA synthesis which may affect all rapidly dividing cells including hair follicles, oral epithelial lining and bone marrow cells involved in fighting against infections
A. Hair loss is expected
B, E. Methotrexate should be taken with a lot of fluid to flush down the drug to minimize nausea and vomiting
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.
Correct Answer is A
Explanation
A. Corticosteroid are anti-inflammatory which reduce pain in tendonitis
B. Antidepressants are used for depression
C. Anticonvulsant are used for epilepsy
D. Local anesthesia is used during local surgical procedures or before administration of painful medications
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