NURSING ANM AND GNM

NURSING EXAM QUESTIONS

MEDICAL SURGICAL NURSING

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which will the nurse include in the teaching?
A
Avoid crowds.
B
Expect symptoms to subside in 1-2 weeks.
C
Increase intake of Vitamin D.
D
Anticipate constipation.
Explanation: 

Detailed explanation-1: -Prepare a clean area where the drug can be handled safely (away from areas where food is prepared, out of the reach of children, and out from under any air vents or fans). We suggest you or the caregiver wear gloves while handling this medicine.

Detailed explanation-2: -do not take sildenafil if you are taking or have recently taken riociguat (Adempas) or nitrates (medications for chest pain) such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others).

Detailed explanation-3: -Amitriptyline is a tricyclic antidepressant that acts centrally by inhibiting neuronal reuptake of norepinephrine and serotonin and is used effectively in many chronic neuropathic pain conditions (9-11).

Detailed explanation-4: -Warfarin is monitored by drawing a blood sample and determining the INR [international normalized ratio]. The INR is a measure of how thin the patient’s blood is. The INR is the KEY test result that health-care providers use to monitor warfarin therapy.

There is 1 question to complete.