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
Aptt is sensitive to heparin and hence use to monitor the therapeutic effects. This helps to ensure that the drug exert if therapeutic effects with increasing the risk of bleeding due to overdose.
A. Bleeding times is a test used to screen for bleeding disorders
B and D are not used for monitoring
Correct Answer is D
Explanation
D. warfarin inhibits the synthesis of vitamin K dependent coagulation factors. Use of vitamin K facilitates their synthesis to stop bleeding
A.Vitamin E is not an antidote
B. Protamine Sulphate is an antidote for heparin
C. Potassium chloride is not an antidote.
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