When caring for a client prescribed to receive methotrexate, the nurse should:
a. hydrate the client with IV fluids containing sodium bicarbonate before and after methotrexate administration.
b. encourage the client to use water with sodium bicarbonate as a mouth rinse.
c. monitor each of client's voids for blood in the urine.
d. administer leucovorin immediately before and after methotrexate administration.
ANS: A
Feedback
A Correct: This helps neutralize and dilute body fluids to decrease uric acid concentration and increase methotrexate excretion.
B Incorrect: This is not specific to stomatitis caused by methotrexate.
C Incorrect: This is not specific to methotrexate.
D Incorrect: Leucovorin is not administered prior to methotrexate administration.
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