When caring for a client prescribed to receive methotrexate, the ...

[saliriagwu]

When caring for a client prescribed to receive methotrexate, the nurse should:
 
  a. hydrate the client with IV fluids containing sodium bicarbonate before and after methotrexate administration.
  b. encourage the client to use water with sodium bicarbonate as a mouth rinse.
  c. monitor each of client's voids for blood in the urine.
  d. administer leucovorin immediately before and after methotrexate administration.

Question 2

To decrease systemic adverse effects of chemotherapy, the nurse should:
 
  a. avoid a diet high in sodium.
  b. provide adequate hydration before and after chemotherapy administration.
  c. premedicate client with prednisone and ondansetron.
  d. monitor the urine specific gravity.

[wfdfwc23]

Answer to Question 1

ANS: A

Feedback
A Correct: This helps neutralize and dilute body fluids to decrease uric acid concentration and increase methotrexate excretion.
B Incorrect: This is not specific to stomatitis caused by methotrexate.
C Incorrect: This is not specific to methotrexate.
D Incorrect: Leucovorin is not administered prior to methotrexate administration.

Answer to Question 2

ANS: B

Feedback
A Incorrect: This will not maintain fluid and electrolyte balance and decrease the systemic adverse effects of chemotherapy.
B Correct: This will maintain fluid and electrolyte balance and decrease the systemic adverse effects of chemotherapy.
C Incorrect: This will not maintain fluid and electrolyte balance and decrease the systemic adverse effects of chemotherapy, except nausea and vomiting.
D Incorrect: This will not maintain fluid and electrolyte balance and decrease the systemic adverse effects of chemotherapy; however, it is a marker for fluid resuscitation.

[saliriagwu]

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[wfdfwc23]

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