A patient has been administered methotrexate, which is a purine antagonist used to treat a rapidly growing tumor. The patient develops stomatitis. What is the priority nursing diagnosis for a patient suffering from stomatitis?
A) Impaired skin integrity
B) Activity intolerance
C) Self-care deficit: hygiene
D) Risk for disuse syndrome
A
Feedback:
Toxic effects of methotrexate include stomatitis, which is an alteration in skin integrity. Disuse syndrome, lack of hygiene, and activity intolerance are less directly related to stomatitis.
You might also like to view...
The nurse is concerned that a client with bowel and bladder dysfunction is at risk for developing an infection. Which actions should the nurse take to help reduce this client's risk for developing an infection?
Select all that apply. A) Turn and reposition the client every 2 hours. B) Monitor intake and output. C) Provide hygienic care after episodes of incontinence. D) Use standard precautions when handling linen after episodes of incontinence. E) Cover wounds with antibiotic ointment and sterile gauze.
When giving IV potassium, the nurse takes the precaution of
a. agitating the bag to prevent bolus administration. b. ensuring potassium dilution with glucose solution. c. leaving the IV cannula inserted as long as possible. d. using a large cannula for infusion.
Which population group is unaffected by substance-abuse disorders?
a. female teenagers c. older adults b. male professionals, ages 24 to 45 d. none of the above
The perinatal nurse would assess which newborn systems in more detail after the birth if a woman admitted to cocaine use during her pregnancy:
Select all answers that apply: A) Nentral nervous system B) Cardiovascular system C) Gastrointestinal system D) Respiratory system