Introduction to Care of Patients with Chronic Illnesses
Introduction to Care of Patients with Chronic Illnesses ( 4 Questions)
A client with rheumatoid arthritis (RA) is prescribed methotrexate, a disease-modifying antirheumatic drug (DMARD). What should the nurse include in the teaching plan for this client?
This is not a correct statement, as methotrexate should be taken on an empty stomach, at least one hour before or two hours after meals, to enhance absorption and effectiveness.
The client should be advised to avoid drinking alcohol while taking methotrexate, as this can increase the risk of hepatotoxicity and liver damage. Methotrexate is metabolized by the liver and can cause elevated liver enzymes and inflammation. The client should also have regular liver function tests while taking this medication.
This is not a relevant statement, as methotrexate does not affect blood pressure. However, the client should monitor their blood counts regularly while taking this medication, as methotrexate can cause bone marrow suppression and anemia.
This is not a correct statement, as methotrexate is usually taken once a week for RA. Taking it more frequently can increase the risk of adverse effects and toxicity.
The client should be advised to avoid drinking alcohol while taking methotrexate, as this can increase the risk of hepatotoxicity and liver damage. Methotrexate is metabolized by the liver and can cause elevated liver enzymes and inflammation. The client should also have regular liver function tests while taking this medication.
Incorrect options:
A) "You should take this medication with food or milk to prevent stomach upset." - This is not a correct statement, as methotrexate should be taken on an empty stomach, at least one hour before or two hours after meals, to enhance absorption and effectiveness.
C) "You should monitor your blood pressure regularly while taking this medication." - This is not a relevant statement, as methotrexate does not affect blood pressure. However, the client should monitor their blood counts regularly while taking this medication, as methotrexate can cause bone marrow suppression and anemia.
D) "You should take this medication every day for optimal results." - This is not a correct statement, as methotrexate is usually taken once a week for RA. Taking it more frequently can increase the risk of adverse effects and toxicity.