Comprehensive Nursing Pharmacology Q 243



A client has just been prescribed with methotrexate (Trexall) for the treatment of rheumatoid arthritis who did not respond to any other treatment. An important reminder for the client is to?
  
     A. Clay-colored stool is a normal response to the treatment.
     B. Pregnancy is not contraindicated with the use of the medication.
     C. Strict hand washing.
     D. Get a daily source of sunlight during the day.
    
    

Correct Answer: C. Strict hand washing.

Clients taking Methotrexate are more likely to get infections or may worsen any current infections. Therefore, hand washing will help to prevent the spread of infection.

Option A: Clay-colored stool is a sign of liver toxicity and the physician should be notified of it.
Option B: Pregnancy is not allowed during the treatment.
Option D: Photosensitivity may happen during the treatment so the client is advised to wear sunscreen or any protective gear against the sunlight.