Practice Question
A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
Answer Choices:
Correct Answer:
The medication should be discontinued 3 months prior to a planned pregnancy.
Rationale:
◈ Methotrexate is a teratogenic medication that can cause fetal harm and congenital anomalies.
◈ It must be discontinued at least 3 months before conception to allow drug clearance and reduce risk to the fetus.
◈ Patients planning pregnancy should be counseled about contraception and timing of medication cessation.
◈ This information is critical in preconception planning for women with autoimmune conditions like rheumatoid arthritis.
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This question is from RN ATI MedSurg SP 250 Exam 3 which contains 48 questions.
More Questions from This Exam
The nurse is caring for a client who has HIV.
Answer Choices:
A. Tuberculosis
B. Sepsis
C. Hemorrhage
D. Malnutrition
A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?
Answer Choices:
A. Basal cell carcinoma is aggressive and rapid growing,
B. Basal cell carcinoma has a low incidence of metastasis.
C. Basal cell carcinoma develops from a nevus or mole.
D. Basal cell carcinoma has a high mortality rate
The nurse on a medical-surgical unit is caring for a newly admitted client with a diagnosis of R/O tuberculosis.
Answer Choices:
A. Yellow sclera
B. Increasing AST level
C. Weight loss
D. Mantoux test result
A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?
Answer Choices:
A. Tinnitus
B. Respiratory depression
C. Nystagmus
D. Clay colored stools
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider.
Answer Choices:
A. Difficulty swallowing
B. Urinary output 25 mL/hr
C. Heart rate 122/min
D. Pain of 6 on a scale of 0 to 10
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4