The nurse understands the standard maintenance IV fluids for use with methotrexate are:
a. 5% dextrose and 0.9% sodium chloride.
b. 0.9% normal saline.
c. 5% dextrose and 0.45% sodium chloride.
d. 5% dextrose and sodium bicarbonate.
ANS: D
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A Incorrect: The solution should contain sodium bicarbonate.
B Incorrect: The solution should contain sodium bicarbonate.
C Incorrect: The solution should contain sodium bicarbonate.
D Correct: Sodium bicarbonate in 5% dextrose solution is appropriate to help combat uric acid toxicity.
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