A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)

Avoid people who have infections.

Practice frequent hand hygiene.

Do not drink alcoholic beverages while taking this medication.

Smoking will not affect this medication.

Expect to feel the medication's effects immediately.

Answer and Explanation

Correct Answer : A,B,C

Methotrexate inhibits the synthesis of purines. Purines and pyrimidines are the building blocks of DNA synthesis in every cell in the body. It affects the production of white blood cells and hence lowers the immunity and hence the client is at a higher risk for infections

Avoiding infected persons and hand hygiene prevents infections. Alcohol should be avoided as it increases the risk of liver damage

E-it takes several weeks to months to produce its effects

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Correct Answer is A

Explanation

A. morphine can cause respiratory depression
B. Not relevant to morphine administration
C. Important assessment but not priority
D. not directly related to morphine administration

A. Feverfew B. Garlic C. Gingko D. Saw Palmetto E. Glucosamine

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

Explanation

Warfarin reduces the activity of vitamin K to prevent excessive clot formation. Feverfew, garlic, and gingko can also reduce the activity of vitamin K or interfere with platelet function, which can make the blood thinner and harder to clot.
D. Saw Palmetto- Inhibits prostatic growth factors and is used for BPH
E. Used to promote formation of articular cartilage in osteoarthritis

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A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client?

Correct Answer is A

Explanation

A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

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

Explanation

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