Practice Question
A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)
Answer Choices:
Correct Answer:
Report unexplained bruising to the provider.
Rationale:
🔹 Bruising: Methotrexate can cause bone marrow suppression, leading to thrombocytopenia and easy bruising.
🔹 Infection risk: The medication is immunosuppressive, so clients should avoid sick contacts.
🔹 Alcohol: Drinking alcohol increases hepatotoxicity risk when taking methotrexate.
🔹 NSAIDs caution: NSAIDs do not minimize adverse effects; they may increase methotrexate toxicity.
🔹 Onset: Methotrexate effects are not immediate; therapeutic benefit may take weeks.
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This question is from Custom Haynes Fall 2025 ADN 252 Exam 4 which contains 44 questions.
More Questions from This Exam
Which of the following statements is correct regarding the collection of a 24-hour urine cortisol test?
Answer Choices:
A. It is acceptable to discard the first urine sample at the beginning of the 24-hour period.
B. All urine collected in the 24-hour period should be mixed together in a single container.
C. The urine sample should be kept at room temperature throughout the collection period.
D. The patient should avoid drinking water during the 24-hour collection period.
What is the primary purpose of the dexamethasone suppression test?
Answer Choices:
A. To diagnose Cushing's syndrome
B. To diagnose Addison's disease
C. To evaluate kidney function
D. To diagnose Addisonian crisis
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)
Answer Choices:
A. Alopecia
B. Moon face
C. Tremors
D. Purple striations
E. Buffalo hump
A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Answer Choices:
A. Rheumatoid factor (RF)
B. Erythrocyte sedimentation rate (ESR)
C. White blood cell (WBC) count
D. Antinuclear antibody (ANA)
A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?
Answer Choices:
A. Decreases inflammation
B. Reduces risk of infection
C. Improves peripheral blood flow
D. Increases bone density
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 5
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