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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Correct Answer is {"dropdown-group-1":"A"}

Explanation

Tuberculosis is a bacterial infection that affects the lungs and can be transmitted through respiratory droplets. People with HIV are more susceptible to tuberculosis because their immune system is weakened by the virus. Tuberculosis can cause fever, cough, weight loss, and night sweats. The client's vital signs indicate that they have a fever and a high heart rate and respiratory rate, which could be signs of tuberculosis.

A. Pain B. Pruritus C. Purplish in color D. Purulent drainage

Correct Answer is C

Explanation

Malignant melanoma is a rare but aggressive type of skin cancer that originates from melanocytes, the cells that produce pigment in the skin. It can appear as a new or changing mole that has an irregular shape, uneven color, large size, or bleeding tendency. It may also be purplish in color due to vascular invasion or hemorrhage within the lesion.

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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

A nurse is caring for a client who has HIV. Exhibits The client is at risk for developing .

Correct Answer is {"dropdown-group-1":"A"}

Explanation

A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?

Correct Answer is C

Explanation

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