A female client receiving methotrexate for the treatment of rheumatoid arthritis is given a prescription for trimethoprim and sulfamethoxazole (Bactrim DS). The client returns to the physician's office feeling worse than before
She now has a cough and unusual bruising on the extremities. The physician orders a complete blood count and a complete metabolic profile. Which test results would the nurse expect to find? Select all that apply.
A) Increased hemoglobin
B) Decreased number of white blood cells
C) Increased number of red blood cells
D) Decreased number of platelets
E) All values should be within normal limits
Ans: B, D
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The concomitant use of methotrexate and sulfonamides, like trimethoprim and sulfamethoxazole (Bactrim DS), can result in increased bone marrow suppression, leading to decreased amounts of white blood cells, red blood cells, and platelets in the blood.
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A preschool-age child is scheduled for a tonsillectomy. Which strategy might help ease the child's anxiety before surgery?
1) Show the child a short, animated video about the hospital visit and procedure. 2) Give the child a tour of the hospital a week before the surgery is scheduled. 3) Allow the child to use computer-assisted instruction to teach him about the procedure. 4) Provide one-to-one instruction about the care he will need after surgery.
The nurse is attending an in-service education program that identifies the Joint Commission's requirements of documentation. Which of the following would be one of these requirements?
a. A traditional nursing care plan b. Documentation of all steps of the nursing process c. Interdisciplinary planning and implementation of all aspects of care d. Client signature on nursing records
Historically, European countries in the 1700s housed older persons in institutions with
a. farmers, who could use them as labor. b. mentally ill persons. c. older people of the same gender. d. those of the same socioeconomic class.
A nurse catheterizes a client immediately after voiding. The residual volume is 50 mL. What will the nurse do next?
a. Notify the physician. b. Insert an indwelling catheter. c. Document the finding in the chart. d. Modify the bladder training program.