The adolescent client is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The healthcare provider also prescribes leucovorin therapy. Which adolescent statement indicates correct understanding for the administration schedule for this newly prescribed drug?
1. "I do not have any pain, so I will not need to take the leucovorin this time."
2. "I do not have any nausea, so I .will not need the leucovorin."
3. "I am glad I only need one dose of the leucovorin."
4. "It is important that I receive my leucovorin on time, as it protects my body from the methotrexate."
4
Explanation:
1. Leucovorin is not administered for pain.
2. Leucovorin is administered for nausea.
3. One dose is not the recommended therapy.
4. Leucovorin (citrovorum factor) is a form of folic acid that helps to protect normal cells from the destructive action of methotrexate. It is started within 24 hours of methotrexate administration and is given along with hydration therapy. Usual administration is every 6 hours times 72 hours or until serum methotrexate is at the desired level.
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