A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide?

Take the medication in the morning to prevent insomnia.

Drink 2 to 3 L of water per day while on the medication.

Expect to have a fever for the first days of therapy.

Administer the medication with an NSAID to enhance effectiveness.

Answer and Explanation

The Correct Answer is B

A. Methotrexate is not typically associated with insomnia, and the timing of administration should be according to the provider's instructions.
B. Drinking 2 to 3 L of water per day helps prevent kidney damage and reduces the risk of side effects such as methotrexate toxicity.
C. Fever is not a common expected side effect of methotrexate and should be reported to the provider.
D. Combining methotrexate with NSAIDs can increase the risk of toxicity; this should only be done under direct medical supervision.

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Correct Answer is ["2"]

Explanation

To administer the correct dose of penicillin G benzathine, which is 1.2 million units, and given that the available concentration is 600,000 units per mL, the nurse should calculate the volume to administer based on these values. By dividing the prescribed dose by the concentration available, the nurse can determine the volume needed for injection. In this case, 1.2 million units divided by 600,000 units per mL results in 2 mL.

A. Measure abdominal girth twice weekly. B. Monitor for the presence of WBCs in the urine. C. Apply pressure to needlestick sites for 10 min. D. Assess core temperatures using a rectal thermometer.

Correct Answer is C

Explanation

Rationale:
A. Measuring abdominal girth is not directly related to thrombocytopenia management.
B. Monitoring for WBCs in the urine is not related to thrombocytopenia.
C. Applying pressure to needlestick sites for 10 minutes helps prevent bleeding, which is crucial for clients with thrombocytopenia.
D. Using a rectal thermometer can increase the risk of bleeding and should be avoided in clients with thrombocytopenia.

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A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide?

A nurse is teaching a client who has a new diagnosis of atopic dermatitis. Which of the following statements should the nurse include in the teaching?

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?

A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?

Exhibits The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.