A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?

Dietary modifications occur during pregnancy when taking this medication.

The client can breast feed when taking this medication.

Dosage of the medication will be reduced during pregnancy.

The medication should be discontinued 3 months prior to a planned pregnancy.

Answer and Explanation

The Correct Answer is D

Methotrexate is a medication that interferes with cell division and can cause birth defects or miscarriage if taken during pregnancy. The medication can also pass into breast milk and harm the baby. Therefore, the nurse should advise the client to stop taking methotrexate at least 3 months before trying to conceive and to use effective contraception while on the medication.

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Free Nursing Study Resources

Correct Answer is ["31.5"]

Explanation

The anterior chest wall and abdomen accounts for 18%, the left upper limb 9 % (4.5% anteriorly and 4.5% posteriorly), and the right upper limb 4.5% (2.25% anteriorly and 2.25% posteriorly).

(18+9+4.5) =31.5%

A. Administer pantoprazole as prescribed. B. Reposition the endotracheal tube to the opposite side of the mouth daily. C. Verify the prescribed ventilator settings daily. D. Elevate the head of the bed to at least 30°. E. Apply restraints if the client becomes agitated.

Correct Answer is ["A","B","D"]

Explanation

Correct answers: A, B ,D

A.Stress ulcer prophylaxis (e.g., a PPI) is indicated for critically ill, ventilated patients to prevent GI bleeding from stress-related mucosal damage.

B.Rotating the tube and tape from side to side prevents pressure necrosis of the lips and oral mucosa.

D.Semi-Fowler’s positioning (≥30°) reduces aspiration risk and helps prevent ventilator-associated pneumonia.

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A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["31.5"]

Explanation

A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?

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