Methotrexate is prescribed for a female client with psoriasis. When teaching the client about this medication, the nurse would explain that the client should avoid
a. aged cheese.
b. alcohol.
c. birth control pills.
d. milk products.
B
To prevent liver damage, the client should avoid alcohol while taking methotrexate. Effective birth control is needed during treatment and for 3 months following completion of treatment. Milk products and aged cheese do not have interactions with this drug.
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A client is thankful that newly obtained burns are not serious because they aren't causing much pain. What should the nurse respond to the client?
1. "Your burns are pretty deep and have destroyed some of the pain receptors." 2. "Yes, you are fortunate to not have a lot of pain." 3. "I'm afraid you are mistaken. These are severe burns." 4. "I'm glad you have such a positive attitude; it's going to be helpful during your recovery."
A client is prescribed topical triamcinolone. The nurse is aware that the client may experience systemic adverse reactions. Which of the following might the nurse assess? Select all that apply
A) Hyperglycemia B) Myasthenia gravis C) Cushing's syndrome D) Nausea E) Fever
When is the best time to teach Natalie about the use of the PCA?
a) the day before the surgery is scheduled b) while she is in the post-anesthesia care unit c) when she is in pain and wants to learn how to obtain relief d) after receiving a dose of medication from the PCA pump
MC Which one of the following statements regarding clinical paths is correct?
A. This is a format for documenting nursing tasks and eliminates the need for other flow sheets, graphic forms, etc. B. Discharge planning is initiated after the first "variance" occurs. C. Use of critical paths reduce client complication rates and hospital costs. D. All clients should be placed on a clinical path at the time of admission.