A nurse reviews a client's medical history for conditions that would contraindicate use of methotrexate. Which of the following would the nurse identify as a possible contraindication? Select all that apply
A) Hypertension
B) Folate deficiency
C) Vitamin B12 deficiency
D) Diabetes
E) Liver disease
Ans: B, E
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The use of methotrexate is contraindicated in clients with known hypersensitivity to the drug and clients with renal insufficiency, liver disease, alcohol abuse, pancytopenia, or folate deficiency.
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A pediatric nurse is educating the client with sickle cell disease and the client's family regarding the genetic implications of the disease. Which information is inappropriate for the nurse to share with the client's family?
A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%. B) The disorder is transmitted as an autosomal recessive genetic defect. C) The sickle cell gene may have originated to protect against lethal forms of malaria. D) In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
Which nursing intervention takes highest priority for the nurse caring for an unconscious patient?
A) Inserting an indwelling urinary catheter B) Maintaining a patent airway C) Putting a nasogastric (NG) tube in place D) Administering an enema daily
The nurse manager was commenting to her staff about the overtime hours she was putting in because of a shortage of nurses. This is an example of what type of game?
a. Blame others b. "Poor me" c. The corner d. The bear trapper
The function of lysosomes is to:
A. break down particles or worn-out cellular components. B. convert food materials into energy. C. produce digestive enzymes and antibody proteins. D. aid in cell division.