Author Question: A nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate (MTX) ... (Read 98 times)

cabate · **on:** Jun 25, 2018

A nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate (MTX) (Rheumatrex) for disease control. What information does the nurse include? (Select all that apply.)

a. Avoid acetaminophen in over-the-counter medications.
b. It may take several weeks to become effective on pain.
c. Pregnancy and breast-feeding are not affected by MTX.
d. Stay away from large crowds and people who are ill.
e. You may find that folic acid, a B vitamin, reduces side effects.

Question 2

The nursing student studying rheumatoid arthritis (RA) learns which facts about the disease? (Select all that apply.)

a. It affects single joints only.
b. Antibodies lead to inflammation.
c. It consists of an autoimmune process.
d. Morning stiffness is rare.
e. Permanent damage is inevitable.

zenzy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D, E
MTX is a disease-modifying antirheumatic drug and is used as a first-line drug for RA. MTX can cause liver toxicity, so the client should be advised to avoid medications that contain acetaminophen. It may take 4 to 6 weeks for effectiveness. MTX can cause immunosuppression, so avoiding sick people and crowds is important. Folic acid helps reduce side effects for some people. Pregnancy and breast-feeding are contraindicated while on this drug.

Answer to Question 2

ANS: B, C
RA is a chronic autoimmune systemic inflammatory disorder leading to arthritis-type symptoms in the joints and other symptoms that can be seen outside the joints. Antibodies are created that lead to inflammation. Clients often report morning stiffness. Permanent damage can be avoided with aggressive, early treatment.