Documentation and Evaluation in Chronic Illness Care
Documentation and Evaluation in Chronic Illness Care ( 4 Questions)
A client with rheumatoid arthritis 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 supplements can help reduce the side effects of methotrexate, such as nausea, mouth ulcers, and hair loss.
The client should be instructed to avoid alcohol while taking methotrexate, as alcohol can increase the risk of liver toxicity and damage. Methotrexate can also impair the immune system and increase the risk of infection, so the client should report any signs of infection, such as fever, sore throat, or cough, to their doctor. Methotrexate can also affect the blood cell counts and kidney function, so the client should have regular blood tests to monitor these parameters. Folic acid supplements can help reduce the side effects of methotrexate, such as nausea, mouth ulcers, and hair loss.
This is a correct statement, as methotrexate can impair the immune system and increase the risk of infection, so the client should report any signs of infection, such as fever, sore throat, or cough, to their doctor.
This is a correct statement, as methotrexate can affect the liver and kidney function, so the client should have regular blood tests to monitor these parameters.
The client should be instructed to avoid alcohol while taking methotrexate, as alcohol can increase the risk of liver toxicity and damage. Methotrexate can also impair the immune system and increase the risk of infection, so the client should report any signs of infection, such as fever, sore throat, or cough, to their doctor. Methotrexate can also affect the blood cell counts and kidney function, so the client should have regular blood tests to monitor these parameters. Folic acid supplements can help reduce the side effects of methotrexate, such as nausea, mouth ulcers, and hair loss.
Incorrect options:
A) "I will take folic acid supplements as prescribed by my doctor." - This is a correct statement, as folic acid supplements can help reduce the side effects of methotrexate, such as nausea, mouth ulcers, and hair loss.
C) "I will report any signs of infection to my doctor." - This is a correct statement, as methotrexate can impair the immune system and increase the risk of infection, so the client should report any signs of infection, such as fever, sore throat, or cough, to their doctor.
D) "I will have regular blood tests to monitor my liver and kidney function." - This is a correct statement, as methotrexate can affect the liver and kidney function, so the client should have regular blood tests to monitor these parameters.