A nurse is preparing to administer methotrexate in oral tablet form to a client. Which of the following actions should the nurse take?
Don a protective gown.
Handle in an area with controlled ventilation.
Wear an N95 mask
Apply gloves.
The Correct Answer is D
A. Donning a protective gown is unnecessary for oral medication administration unless there is a risk of exposure to bodily fluids or hazardous substances.
B. Methotrexate in oral tablet form does not require special ventilation as it is not in a volatile or aerosolized form.
C. Wearing an N95 mask is unnecessary for oral medication administration unless there is a specific risk of airborne transmission.
D. Applying gloves is the appropriate action to prevent contact with the medication and protect against potential skin irritation or absorption.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Insulin glargine is unlikely to interact significantly with morphine administered via PCA pump.
B. Acetaminophen is commonly used alongside morphine for pain management and nausea relief.
C. Ondansetron is often prescribed to prevent or treat nausea, commonly associated with opioid use.
D. Nalbuphine, a mixed opioid agonist-antagonist, can potentially precipitate withdrawal symptoms in patients receiving morphine via PCA pump due to its antagonist properties.
Correct Answer is B
Explanation
A. Applying pressure to the IV site can cause further damage to the tissue and is not recommended. Pressure can exacerbate the infiltration and cause more discomfort to the patient.
B. Elevating the extremity helps reduce swelling and facilitates fluid reabsorption.
This position also reduces pain and further leakage of the infiltrated fluid.
C. Flushing the IV catheter is not appropriate as it can increase infiltration. This action would introduce more fluid into the surrounding tissue, worsening the condition.
D. Slowing the infusion rate does not address the infiltration and can exacerbate the problem. The infusion should be stopped immediately, not just slowed down.
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