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A nurse is monitoring the laboratory values of a client who has rheumatoid arthritis and is taking methotrexate. Which of the following values should the nurse identify as an adverse effect of the medication?

Positive Rheumatoid factor

WBC count 2.000/mm3

Hemoglobin 14.8 g/dL

Erythrocyte sedimentation rate 24 mm/hr

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.

Choice B rationale:

A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.

Choice C rationale:

A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.

Choice D rationale:

An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.

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Correct Answer is C

Explanation

Choice A rationale:

Palliative care is not necessarily focused on prolonging the client's life, but rather on improving the quality of life and managing symptoms.

Choice B rationale:

Palliative care is not limited to individuals with a specific life expectancy, such as less than 6 months. It can be provided at any stage of a serious illness.

Choice C rationale:

Palliative care aims to address the physical, emotional, and psychosocial needs of both the client and their family.

Choice D rationale:

Palliative care involves a holistic approach that includes traditional medical treatments along with psychosocial and emotional support.

A. Take a hot bath to relieve muscle spasms. B. Participate in high-impact exercise daily. C. Drink at least 1.5 L of fluid per day. D. Restrict daily intake of dietary fiber.

Correct Answer is C

Explanation

Choice A rationale:

Taking a hot bath to relieve muscle spasms might exacerbate symptoms in individuals with multiple sclerosis due to heat sensitivity.

Choice B rationale:

Participating in high-impact exercise daily can be challenging for individuals with multiple sclerosis, who may experience fatigue and mobility issues.

Choice C rationale:

Adequate hydration is essential for individuals with multiple sclerosis to maintain overall health and support neurological function.

Choice D rationale:

Restricting daily intake of dietary fiber is not recommended, as fiber can aid in maintaining bowel regularity for individuals with multiple sclerosis.

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A nurse is monitoring the laboratory values of a client who has rheumatoid arthritis and is taking methotrexate. Which of the following values should the nurse identify as an adverse effect of the medication?

Nursing Test Bank

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