A patient diagnosed with scleroderma has been prescribed methotrexate (Rheumatrex). Which medication teaching should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Use sunblock when outside.
2. Avoid caffeine.
3. Avoid citrus juices.
4. Do not take aspirin with this drug.
5. Do not use any over-the-counter medication without first checking with the health care provider.
1,2,4,5
Rationale 1: Methotrexate causes photosensitivity, so sunblock should be used.
Rationale 2: Caffeine can cause increased toxicity of methotrexate.
Rationale 3: There is no specific restriction on drinking citrus juices.
Rationale 4: There is an adverse drug–drug reaction between methotrexate and aspirin.
Rationale 5: Many OTC products interact with methotrexate.
You might also like to view...
A patient has been involved in an automobile accident in which the passenger died. The patient arrives in the clinic with complaints of nightmares, inability to concentrate, and impaired memory
The patient is most likely experiencing which of the following? A) Posttraumatic stress disorder B) Developmental difficulties C) Drug addiction D) Mild stress
The nurse is preparing to administer a vaginal prostaglandin preparation to ripen the cervix of a client. With which client should the nurse question the use of vaginal prostaglandin as a cervical ripening agent?
a. The client who has a Bishop's score of 5 b. The client who is at 42 weeks of gestation c. The client who had a previous low transverse cesarean birth d. The client who had previous surgery in the upper uterus
What is the major nursing concern for a child having an anaphylactic reaction?
a. Identifying the offending allergen b. Ineffective breathing pattern c. Increased cardiac output d. Positioning to facilitate comfort
The nurse is caring for a client who is experiencing shock. Which fluid replacement agents does the nurse anticipate will be used when providing care? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Crystalloids 2. Colloids 3. Water 4. Blood products 5. Oral hydration products