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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 A

Explanation

Choice A rationale:

Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.

Choice B rationale:

Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.

Choice C rationale:

Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.

Choice D rationale:

Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.

A. "I should expect to have up to 12 treatments." B. "I should expect this treatment to cure my illness." C. "I will receive an antianxiety medication during the treatments." D. "I will wake up 2 hours after the treatment."

Correct Answer is A

Explanation

Choice A rationale:

Electroconvulsive therapy (ECT) is typically administered as a series of treatments, often ranging from 6 to 12 sessions, to achieve optimal therapeutic effects.

Choice B rationale:

ECT can provide relief from severe depressive symptoms, but it is not necessarily considered a "cure" for depression.

Choice C rationale:

ECT is not usually accompanied by antianxiety medication during the treatments.

Choice D rationale:

Recovery from ECT typically occurs within minutes after the treatment, not after 2 hours.

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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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