A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement should the nurse include in this client’s discharge teaching?
Take warm baths to promote muscle relaxation.
Avoid crowds and people with colds.
Relying on a walker will weaken your gait.
Take prescribed medications when symptoms occur.
The Correct Answer is B
Choice A reason: Warm baths may help with MS-related spasticity but are not the priority teaching for cyclophosphamide and methylprednisolone. These drugs focus on immunosuppression and inflammation control, and baths do not address their side effects or infection risks.
Choice B reason: Cyclophosphamide and methylprednisolone are immunosuppressants, reducing white blood cell counts and increasing infection risk. Avoiding crowds and sick individuals minimizes exposure to pathogens, critical for preventing infections like pneumonia in MS patients on these medications.
Choice C reason: Using a walker supports mobility in MS without necessarily weakening gait. It aids safety during exacerbations, and discouraging its use is inappropriate, as it does not address the immunosuppressive risks of the prescribed medications.
Choice D reason: Taking cyclophosphamide and methylprednisolone only when symptoms occur is incorrect, as these drugs require consistent dosing for immunosuppression and inflammation control. Symptom-based dosing reduces efficacy and increases relapse risk in MS management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
Step 1 is: Find out how many times 50 mg fits into 150 mg 150 ÷ 50 = 3
Step 2 is: Multiply the volume per dose 3 × 5 = 15
Final answer = 15 mL
Correct Answer is B
Explanation
Choice A reason: Warm baths may help with MS-related spasticity but are not the priority teaching for cyclophosphamide and methylprednisolone. These drugs focus on immunosuppression and inflammation control, and baths do not address their side effects or infection risks.
Choice B reason: Cyclophosphamide and methylprednisolone are immunosuppressants, reducing white blood cell counts and increasing infection risk. Avoiding crowds and sick individuals minimizes exposure to pathogens, critical for preventing infections like pneumonia in MS patients on these medications.
Choice C reason: Using a walker supports mobility in MS without necessarily weakening gait. It aids safety during exacerbations, and discouraging its use is inappropriate, as it does not address the immunosuppressive risks of the prescribed medications.
Choice D reason: Taking cyclophosphamide and methylprednisolone only when symptoms occur is incorrect, as these drugs require consistent dosing for immunosuppression and inflammation control. Symptom-based dosing reduces efficacy and increases relapse risk in MS management.
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