Which statement made by the client taking methotrexate (Folex) weekly for pulmonary fibrosis indicates understanding of the side effects of this therapy?
A. "I will reduce my oxygen flow rate while taking the methotrexate."
B. "I will not drink wine within two days of taking the methotrexate."
C. "I will be sure to drink at least 4 liters of fluids on the days I actually take the methotrexate."
D. "I will avoid drinking coffee or any other caffeinated beverages within two days of taking the methotrexate."
B
Methotrexate induces some degree of liver damage when taken long term. Avoiding other liv-er-damaging agents, such as alcohol near the time that the methotrexate is taken, reduces the po-tential for enhancing the liver-damaging actions of methotrexate.
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Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, "I'm fine." What would be an appropriate response of the nurse?
a. Sit down next to the bed and say, "You don't act fine." b. Pat him on the shoulder and continue on rounds. c. Say, from the doorway, "If you need anything, just call me." d. Assist the patient to sit up and say, "Now, that's much better, isn't it?"
The nurse is preparing to enter a room for the patient on contact precautions. In which order should she put on her personal protection equipment?
a. Gloves, gown, cap, eyewear b. Gown, cap, eyewear, gloves c. Cap, eyewear, gown, gloves d. Eyewear, cap, gloves, gown
A psychiatric nurse is working with a client who frequently makes remarks such as, "I know my boss is setting me up to be fired; she just won't admit it to me"
When the nurse calls this client to cancel a counseling appointment due to an emergency with another client, this client tells the nurse, "You really don't want to meet with me, do you? You don't like me very much." This client is MOST likely diagnosed with: a. obsessive-compulsive personality disorder b. paranoid personality disorder c. schizoid personality disorder d. schizotypal personality disorder
The nurse reinforcing information to parents about postural drainage, chest clapping, and breathing exercises reminds them that these treatments should be performed:
a. Before nebulization b. After meals c. Six times per day d. Only before bedtime or naptime