The patient is scheduled to begin treatment with the disease-modifying antirheumatic drug methotrexate. In order to avoid a life-threatening adverse effect of the drug, the patient should receive a frequent assessment of:

a. Heart rate
b. Breath sounds
c. Bowel sounds
d. Mental status


ANS: B
Pulmonary fibrosis is an adverse effect of methotrexate and can be life threatening.

Nursing

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On a cool day, a patient complains of tachycardia, diaphoresis, and being warm. The patient has no known health problems. The health care provider will assess the patient for which of the fol-lowing conditions: (Select all that apply.)

1. Diabetes 2. Thyroid disease 3. Posterior pituitary hormone deficiency 4. Hypertension

Nursing

Select the false statement about memory cells and their role in the immune response process in the body.

A. Memory cells are lymphocytes that inhibit the activity of the immune system when the immune response is no longer needed. B. Memory cells are produced when vaccinations are administered. C. Some B-cells and T-cells are referred to as memory cells. D. Memory cells remain in the body for many years and can quickly become reactivated to produce an immune response against an organism that previously infected the body.

Nursing

The governmental agency that protects the health and safety of employees is

A. JCAHO. B. HCFA. C. health department. D. OSHA.

Nursing

A nursing assistant asks the nurse why she needs to bathe a febrile patient. The best response is that this intervention increases heat loss through:

A. convection. B. radiation. C. conduction. D. evaporation.

Nursing