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Author Question: An adult patient has recently begun cancer treatment with methotrexate (MTX). The nurse is aware of ... (Read 37 times)

TFauchery

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on: Jul 23, 2018
An adult patient has recently begun cancer treatment with methotrexate (MTX). The nurse is aware of the importance of monitoring the patient closely for adverse effects of treatment.
 
  When reviewing this patient's laboratory work, the nurse should consequently prioritize assessment of which of the following? A) Sodium and potassium
  B) BUN and creatinine
  C) Calcium and magnesium
  D) Arterial blood gases

Question 2

A patient is admitted to the emergency room with a diagnosis of Legionnaires' disease and is placed on isolation. Which of the following medications is the drug of choice for Legionnaires' disease?
 
  A) Erythromycin (Ery-Tab)
  B) Loxapine hydrochloride (Loxitane)
  C) Meclizine (Antivert)
  D) Pravastatin (Pravachol)


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Carissamariew

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
The antimetabolites may also be nephrotoxic. MTX use in patients with impaired renal function may lead to accumulation of toxic amounts or additional renal damage. Evaluation of the patient's renal status should take place before and during MTX therapy. This adverse effect of MTX treatment supersedes the importance of electrolytes and ABGs, though these would also be considered.

Answer to Question 2

A
Feedback:
Erythromycin is the prototype macrolide used to treat Legionnaires' disease. Loxapine hydrochloride is an antipsychotic agent. Meclizine (Antivert) is used to treat nausea and dizziness. Pravastatin is used to treat hypercholesterolemi a.


TFauchery

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Carissamariew

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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