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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Lithium reduces the concentration of urine leading to sodium and water loss
Other options not directly related to lithium use
Correct Answer is A
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Aspirin has an antiplatelet effect. It prevents aggregation of platelets and hence the formation for the primary platelets plug. This prevent formation of thrombus as a complication of an unstable atherosclerotic plaques.
The other actions of aspirin are not related to MI
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