Methotrexate is ordered for a client with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the client receiving methotrexate? (Select all that apply.)

Hair loss is not expected with this drug.

Avoid foods that are too hot or too cold or rough in texture.

Avoid areas with large crowds or gatherings.

Prepare for hair loss.

Restrict fluid intake to reduce nausea and vomiting.

Answer and Explanation

Correct Answer : B,C,D

methotrexate interferes with DNA synthesis which may affect all rapidly dividing cells including hair follicles, oral epithelial lining and bone marrow cells involved in fighting against infections
A. Hair loss is expected
B, E. Methotrexate should be taken with a lot of fluid to flush down the drug to minimize nausea and vomiting

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Correct Answer is C

Explanation

Rationale- Laxatives increase bowel peristalsis which could be risky when given in a client with abdominal pain of unknown origin as it may lead to bowel perforation in cases of obstruction.
A. Laxative help clear ammonia from the gut reducing the risk of hepatic encephalopathy.
B. Laxatives are safe in diverticulosis after ruling out acute diverticulitis
D. Laxatives help in passage of stool in cases of chronic constipation

A. Check the client's vital signs. B. Administer the medication to the correct client. C. Fill out an occurrence form. D. Notify the client's provider.

Correct Answer is A

Explanation

Ensuring client’s safety is a priority. Nifedipine can affect blood pressure and heart rate and these should be assessed

This can be followed by other actions- D, C, B

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Methotrexate is ordered for a client with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the client receiving methotrexate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A laxative has been ordered for a client. The nurse checks the client's medical history and would be concerned if which condition is present?

Correct Answer is C

Explanation

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?

A nurse is preparing to administer atenolol 25 mg PO every 12 hr. The amount available is atenolol 50 mg/tab. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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 client is receiving high doses of methotrexate and is experiencing severe bone marrow suppression. The nurse expects which intervention to be ordered with this drug to reduce this problem?

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.)

The nurse is reviewing the mechanism of action of antidiarrheal drugs. Which type of antidiarrheal medication works by decreasing the intestinal muscle tone and peristalsis of the intestines?

After administering an intradermal (ID) injection for a skin test, the nurse notices a small bleb at the injection site. Which of these is the best action for the nurse to take at this time?