The client receives methotrexate (Rheumatrex). The nurse assesses ...

[Sufayan.ah]

The client receives methotrexate (Rheumatrex). The nurse assesses for side effects of this drug. Which side effects are a primary concern for the nurse?
 
  1. Hyperglycemia and fatigue
  2. Nausea and vomiting
  3. Hypertension and seizures
  4. Ulcerative stomatitis and diarrhea

Question 2

The client experiences nausea and vomiting soon after chemotherapy treatments. What is the best action by the nurse?
 
  1. Administer a sleeping medication during chemotherapy.
  2. Increase fluid intake to flush the kidneys prior to chemotherapy.
  3. Administer an antiemetic 12 hours before chemotherapy.
  4. Restrict food on the day the client receives chemotherapy.

[chjcharjto14]

Answer to Question 1

Correct Answer: 4
Rationale 1: Hyperglycemia is not an adverse effect of methotrexate.
Rationale 2: Nausea and vomiting are expected adverse effects and are not of primary concern.
Rationale 3: Hypertension and seizures are not adverse effects of this drug.
Rationale 4: Ulcerative stomatitis and diarrhea require suspension of therapy because they may lead to hemorrhagic enteritis and death from intestinal perforation.

Answer to Question 2

Correct Answer: 3
Rationale 1: A sleeping medication will not prevent nausea and vomiting.
Rationale 2: Increasing fluids will not prevent nausea and vomiting.
Rationale 3: Pharmacological intervention, such as administering an antiemetic, is usually necessary to control nausea and vomiting.
Rationale 4: It may help to withhold food 13 hours prior to chemotherapy, but the client can eat as desired; withholding food will not prevent nausea and vomiting.

[Sufayan.ah]

TY

[chjcharjto14]

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