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 D

Explanation

D. Garlic is used for its lipid lowering effects which lower the risk of cardiovascular EVENTS. In addition to this, it has anti-platelet effects increasing risk of bleeding when used with warfarin.
A and B Garlic has no sedative, analgesic effect.
C. Garlic has positive effects on lipid lowering which is not of concern.

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

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

Correct Answer is D

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

A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 rnEq/L. Which statement about the laboratory result is correct?

A client is receiving doxorubicin as part of treatment for ovarian cancer. Which of these is a possible adverse effect of doxorubicin?

A client is receiving an aluminum-containing antacid. The nurse will inform the client to watch for which possible adverse effect?

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A nurse is reinforcing teaching about Vancomycin with a client who has an infection. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

When taking a telephone order for a medication, which action by the nurse is most appropriate?