Author Question: The nurse is preparing to administer a high dose of intravenous methotrexate (Rheumatrex) to a ... (Read 106 times)

aabwk4 · **on:** Jul 23, 2018

The nurse is preparing to administer a high dose of intravenous methotrexate (Rheumatrex) to a patient with non-Hodgkin's lymphoma. Which of the following would the nurse expect to be administered concurrently?

a. Vitamin C
b. Calcium
c. Leucovorin
d. Spironolactone (Aldactone)

Question 2

The nurse on an oncology unit is providing patient education to an elderly patient who has colorectal cancer and who is to begin oxaliplatin (Eloxatin) therapy.

What information about oxaliplatin therapy is it important for the patient to know?
a. The patient should avoid direct exposure to sunlight.
b. The patient should shampoo less frequently to prevent hair loss.
c. The patient should take antacids every 2 hours to reduce acidity.
d. The patient should limit exposure to cold objects and environments.

laurnthompson · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Leucovorin can be administered concurrently with methotrexate to enhance the effects of the latter.
Vitamin C, calcium, and spironolactone are not known to enhance the effects of methotrexate.

Answer to Question 2

ANS: D
The patient should be warned to avoid direct exposure to cold or touch cold objects and should avoid cold liquids and the use of ice, because cold exacerbates neuropathy.
Nothing indicates that the patient should avoid sunlight.
Alopecia occurs in 2 of the patients taking the drug; less frequent shampooing does not prevent hair loss.
Nothing indicates that antacids need to be taken with this medication.