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 ["B","C","D","E"]

Explanation

Vancomycin is nephrotoxic and ototoxic and any ear fullness and rising serum creatinine levels should be reported. It also has a narrow therapeutic levels of 10-20mcg/ml and levels above that should be reported. The drug should be administered over 60 mins to prevent red man syndrome

A- Being nephrotoxic, restricting fluid intake could increase risk of renal damage

A. Restrict your daily fluid intake to 1000ml. B. Expect your urine to turn pink or red while taking this medication. C. Discontinue the medication once your symptoms subside. D. Notify your provider if you experience any changes in your hearing.

Correct Answer is D

Explanation

D. Vancomycin is an ototoxic antibiotic
A. Vancomycin is nephrotoxic and restricting fluid intake increases the risk of renal damage
B. Vancomycin does not cause change in urine color
C. The client should take the medication as prescribed regardless of symptoms for clearance of infection

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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

The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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?

Correct Answer is D

Explanation

A nurse is assessing a client IS min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

When teaching a client who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?

A client who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this client to look for which therapeutic effect?

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?

The nurse is screening a client who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the client takes this medication?

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

The nurse is providing counseling to a woman who is HIV positive and has just discovered that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant women to prevent transmission of the virus to the infant?

A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 rnEq/L. Which statement about the laboratory result is correct?