A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

Take an antiemetic 1 hr following administration.

Take the medication with an NSAID.

Drink 2 to 3 L Of water per day.

Rinse mouth 2 times per day with an alcohol-based mouthwash.

Answer and Explanation

The Correct Answer is C

Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A-Although methotrexate can cause nausea and vomiting, this does not always happen, therefore, no need for the antiemetic before intake
B-Taking methotrexate with an NSAID increases risk of gastrointestinal irritation
D-Methotrexate cause stomatitis which may be aggravated by use of alcohol-based mouth wash

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Correct Answer is C

Explanation

Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms in various musculoskeletal conditions. One of the common side effects of cyclobenzaprine is drowsiness and impaired cognitive function, which can affect the ability to operate machinery or drive safely.
A. Cyclobenzaprine is used to reduce muscle spasms, so monitoring for increased muscle spasms would not be appropriate.
B. Nausea can be a common side effect of cyclobenzaprine, but it does not typically require discontinuation of the medication unless it is severe or persistent and causing significant distress.
D. Cyclobenzaprine does not typically cause urine discoloration, so expecting urine to turn orange is not relevant to the medication.

A. “I will avoid crowds to keep from infecting others” B. “I will call my doctor if I notice any unusual menstrual bleeding” C. "I will run my toothbrush in the dish washer every month." D. "1 will take the antiemetic as soon as the chemotherapy infusion is complete."

Correct Answer is B

Explanation

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

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A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client Who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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