Practice Quiz

NCLEX-RN

Category - Pharmacological

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Sol is a 30-year-old patient diagnosed with psoriasis. She has been taking methotrexate to decrease the pain in her joints. After two weeks, she calls the clinic complaining of unrelieved pain with occasional nausea and vomiting. The nurse’s instructions would include all of the following except:
  1. Return to the clinic for possible adjustment of dosage.
  2. Take the drug with a full stomach.
  3. Apply a warm compress to the aching joints.
  4. Do range of motion exercises in the morning.
Explanation
Answer: A - The nurse should instruct the patient to apply a warm compress or take a warm shower in the morning to relieve joint pains, do range of motion exercises to relieve joint stiffness, and take the drug on a full stomach to prevent GI discomforts. The nurse should also inform the patient that the drug will have its therapeutic effect in 3-6 weeks. If improvements are noted during the first few weeks, adjusting the dose is unnecessary.
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