A patient is beginning therapy with oral methotrexate [Rheumatrex] for rheumatoid arthritis. The nurse will teach this patient about the importance of:
a. having routine renal and hepatic function tests.
b. limiting folic acid consumption.
c. reporting alopecia and rash.
d. taking the medication on a daily basis.
A
Periodic tests of renal and liver function are mandatory for patients taking methotrexate. Patients taking methotrexate should take folic acid supplements. Alopecia and rash are not worrisome side effects. Methotrexate is taken once weekly.
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A registered nurse delegates vital signs on a patient to the unlicensed assistive personnel (UAP). The nurse reviews the documented vital signs from the UAP to determine if they are within nor-mal parameters for the patient
The nurse in this example is demonstrating which attribute when following up on the vital signs? a. Interprofessional collaboration b. Staff education c. Accountability d. Delegation
A patient has a large scar on the leg from a laceration. What information would the nurse provide about these scars? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "This scar tissue is just as strong as any other skin on your body.". 2. "You need to protect this scar from trauma for about 3 or 4 months.". 3. "Do not expose the scar to intense sunlight.". 4. "It may take up to 2 years for this area to get as strong as it is going to.". 5. "Once the scar is present, epithelialization will begin.".
A nurse promotes alliances among organizations for a common purpose. Which public health intervention is being implemented?
a. Health teaching b. Coalition building c. Surveillance d. Referral and follow-up
A young woman with migraine headaches who has recently begun taking sumatriptan (Imitrex) calls the nurse to report a sensation of chest and arm heaviness
The nurse questions the patient and determines that she feels pressure and not pain. What will the nurse do? a. Ask the patient about any history of hypertension or coronary artery disease. b. Determine whether the patient might be pregnant. c. Reassure the patient that this is a transient, reversible side effect of sumatriptan. d. Tell the patient to stop taking the medication immediately.