Complications and Comorbidities in Chronic Illnesses
Complications and Comorbidities in Chronic Illnesses ( 4 Questions)
A client with rheumatoid arthritis (RA) is prescribed methotrexate, a disease-modifying antirheumatic drug (DMARD). Which statement by the client indicates a need for further teaching?
This is a correct statement, as folic acid supplementation can reduce the risk of methotrexate-induced hematologic toxicity and mucositis.
This is a correct statement, as alcohol consumption can increase the risk of methotrexate-induced liver damage.
Methotrexate is a potent immunosuppressant and cytotoxic agent that can cause serious adverse effects, such as bone marrow suppression, hepatotoxicity, pulmonary toxicity, and teratogenicity. The client should be instructed to monitor their blood counts, liver function tests, chest x-rays, and pregnancy tests regularly, and report any signs of infection, bleeding, jaundice, cough, or dyspnea. Blood pressure monitoring is not directly related to methotrexate therapy.
This is a correct statement, as methotrexate is contraindicated in pregnancy due to its potential teratogenic effects on the fetus.
Methotrexate is a potent immunosuppressant and cytotoxic agent that can cause serious adverse effects, such as bone marrow suppression, hepatotoxicity, pulmonary toxicity, and teratogenicity. The client should be instructed to monitor their blood counts, liver function tests, chest x-rays, and pregnancy tests regularly, and report any signs of infection, bleeding, jaundice, cough, or dyspnea. Blood pressure monitoring is not directly related to methotrexate therapy.
Incorrect options:
A) "I will take folic acid supplements to prevent side effects." - This is a correct statement, as folic acid supplementation can reduce the risk of methotrexate-induced hematologic toxicity and mucositis.
B) "I will avoid drinking alcohol while taking this medication." - This is a correct statement, as alcohol consumption can increase the risk of methotrexate-induced liver damage.
D) "I will use contraception to prevent pregnancy while taking this medication." - This is a correct statement, as methotrexate is contraindicated in pregnancy due to its potential teratogenic effects on the fetus.