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 A
Explanation
A. morphine can cause respiratory depression
B. Not relevant to morphine administration
C. Important assessment but not priority
D. not directly related to morphine administration
Correct Answer is D
Explanation
D. Fluid retention due to leakage of fluid leads to increase in weight
A. Capillary leak syndrome leads wet cough
B. Capillary leak syndrome leads to flushing but not bruising of the skin
C. leads to tachycardia due to reduced effective volume
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