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 D

Explanation

A. 2 mg is incorrect and significantly higher than the prescribed dose.
B. 0.20 mg is incorrect because trailing zeros after the decimal point can lead to dosage errors.
C. 2.0 mg is incorrect and significantly higher than the prescribed dose and also includes a trailing zero.
D. 0.2 mg is the correct way to transcribe two tenths of a milligram without using trailing zeros, which reduces the risk of medication errors.

A. Take the client's temperature once per shift. B. Provide the client with fresh fruit to avoid constipation. C. Limit the number of health care workers entering the room. D. Insert an indwelling catheter to monitor sediment in the urine.

Correct Answer is C

Explanation

Rationale:
A. Temperature should be monitored more frequently in immunosuppressed clients to detect early signs of infection.
B. Fresh fruit can introduce bacteria or fungi, increasing infection risk in immunosuppressed clients.
C. Limiting the number of health care workers entering the room helps reduce the risk of infection by minimizing exposure to potential pathogens.
D. An indwelling catheter can increase the risk of infection and should be avoided unless absolutely necessary.

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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

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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