A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Selected Answer: Correct Answ... er: Response Feedback: B. whether the pregnant woman uses illegal substances. B. whether the pregnant woman uses illegal substances. Adolescents are prone to experimentation with various substances, both legal and nonlegal; assessments related to this phenomenon are important during pregnancy. Insurance coverage, exercise, and dietary habits are considered less important. • Question 2 1 out of 1 points A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Selected Answer: Correct Answer: Response Feedback : D. Salicylates D. Salicylat es Because MTX is secreted by the renal tubules, certain drugs that follow the same pathway, such as salicylates, sulfonamides, phenytoin, and penicillin, may compete with MTX excretion, resulting in accumulation and increased toxicity. Therefore, if these drugs cannot be avoided, they should be discontinued 2 days before and restarted 2 days after MTX therapy. Acetaminophen, furosemide, and digoxin do not cause drug– drug interactions with MTX. • Question 3 1 out of 1 points A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? Selected A. Answer: Correct Answer: Response Feedback: Neurotoxic ity A. Neurotoxic ity Neurotoxicity is a major problem associated with paclitaxel therapy, and close monitoring is needed. Neurotoxicity generally begins 2 to 3 days after the infusion. Cardiotoxicity is observed in less than 1% of patients. The drug is not known to cause constipation or asthma. [Show More]
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