The nurse is preparing to administer a high dose of intravenous methotrexate (Rheumatrex) to a patient with non-Hodgkin's lymphoma. Which of the following would the nurse expect to be administered concurrently?
a. Vitamin C
b. Calcium
c. Leucovorin
d. Spironolactone (Aldactone)
ANS: C
Leucovorin can be administered concurrently with methotrexate to enhance the effects of the latter.
Vitamin C, calcium, and spironolactone are not known to enhance the effects of methotrexate.
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During an admission assessment the nurse collects objective and subjective data. An example of subjective data is that the patient:
a. is asleep. b. is tearful. c. has facial grimacing. d. states, "I hurt all over."
The nurse is caring for a client diagnosed with pyelonephritis. Which of the following are appropriate interventions that the nurse should perform? (Select all that apply.)
1. Ensure adequate hydration. 2. Monitor vital signs and fluid balance. 3. Insert a urinary catheter. 4. Provide urinary antiseptics. 5. Monitor electrolytes and creatinine level. 6. Monitor hemoglobin level.
During a teaching session with a group of caregivers with
preschool children the topic of sexual development is discussed. Which caregiver statement indicates an understanding of the sexual development of the preschool age child? A) "When I find my son masturbating, I will tell him that is unacceptable." B) "I will tell my daughter that she will have time to explore her body as she gets older." C) "I will encourage my son to ask his father any questions that are sexual in nature." D) "I feel better knowing that what she is doing is normal."
Which clinical question reflects the PICOT format?
1. Do children who must have suture repair of lacerations do better when placed on a papoose board or when held by a parent? 2. How do 24-hours of postoperative inpatient care compared with 12 hours of postoperative outpatient care affect development of deep vein thrombosis in the first seven days after hysterectomy? 3. What is the mean heart rate decrease in patients treated with guided imagery rather than being treated with medication for anxiety? 4. In patients who sustain traumatic head injuries, is it better to keep them immobilized in a head vise until they have returned from radiology or is it better to remove the head vise as soon as the x-rays have been read?