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Practice Question

A nurse is caring for a client in the clinic.Vital signs1 week ago:Temperature 37° C (98.6° F)Heart rate 64/minRespiratory rate 12/minBlood pressure 118/72 mm HgToday.Temperature 37.2° C (98.9° F)Heart rate 82/minRespiratory rate 16/minBlood pressure 1 10/68 mm HgNurses notes1 week ago:Client presents to the clinic for an infusion of methotrexate for Non-Hodgkin lymphoma. Client premeditated with ondansetron prior to administration. Client tolerated infusion well. Client educated on adverse effects of medication.Today:Client returns to the clinic with reports of mouth pain. Oral mucosa is dry with lesions noted in buccal mucosa. Client educated on interventions for stomatitis.Which of the following client statements indicates to the nurse the teaching was effective?Select all that apply.

Answer Choices:

Correct Answer:

"l will avoid consuming alcoholic beverages"

Rationale:

✍️Methotrexate is hepatotoxic, so avoiding alcohol reduces additive liver injury and supports safer therapy during cancer treatment.

🥣With stomatitis/mucositis, soft or semisolid foods minimize mechanical trauma to lesions and improve oral intake while pain is present.

🫗Frequent saline (or salt-bicarbonate) rinses every couple of hours moisturize mucosa, reduce irritation, and help prevent secondary infection, which is critical during immunosuppression.

🪥These measures together form the core of gentle oral care to limit mucositis severity, maintain nutrition/hydration, and reduce treatment interruptions.

📌Core Message

Effective care with methotrexate includes no alcohol (limit hepatotoxicity) and gentle oral measures (soft foods, frequent saline rinses) to control stomatitis.

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This question is from ATI RN Pharmacology 2024 Exam-1 which contains 49 questions.

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From Exam
ATI RN Pharmacology 2024 Exam-1

49 Questions

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Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: PHARMACOLOGY (RN ati)
  • Answer Choices: 5
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