Author Question: When monitoring a client prior to administration of methotrexate, the nurse should notify the health ... (Read 23 times)

jazziefee · **on:** Jul 24, 2018

When monitoring a client prior to administration of methotrexate, the nurse should notify the health care provider regarding which value:

a. hematocrit of 35. c. urine pH of 5.0.
b. oxygen saturation of 95. d. urine specific gravity of 1.002.

Question 2

If a client experiences extravasation of intravenous fluid containing an alkylating agent, the nurse first should:

a. slow the infusion to a keep vein open rate.
b. stop the infusion and apply cold compresses to the area.
c. call the health care provider.
d. administer an appropriate antidote to the site.

nickk12214 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C

Feedback
A Incorrect: A hematocrit below 25 should be reported.
B Incorrect: This is within defined limits of oxygen saturation.
C Correct: For a urine pH below 5.5, the methotrexate should be withheld and the health care provider notified.
D Incorrect: This represents diluted urine, which is positive.

Answer to Question 2

ANS: B

Feedback
A Incorrect: The infusion must be stopped immediately.
B Correct: This is the appropriate first nursing action.
C Incorrect: This is not the first nursing action.
D Incorrect: This is not the first nursing action.