Question

a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following statements by the client indicates understanding of the teaching?

• \i will take my prescribed birth control pill every day.\
• \methotrexate decreases my chances of developing an infection.\
• \i take methotrexate every day with breakfast.\
• \i will aim to drink five 8 - ounce glasses of water per day.\

Explanation:

• For the option "I will take my prescribed birth control pill every day.": Methotrexate is teratogenic (can cause birth defects), so using birth control is crucial to prevent pregnancy during therapy. This shows understanding.
• For "Methotrexate decreases my chances of developing an infection.": Methotrexate suppresses the immune system, increasing infection risk, so this is incorrect.
• For "I take methotrexate every day with breakfast.": Methotrexate for rheumatoid arthritis is typically taken once a week, not daily, so this is incorrect.
• For "I will aim to drink five 8 - ounce glasses of water per day.": Clients on methotrexate should drink more (usually 8 - 10 glasses) to prevent renal damage, so this is insufficient and incorrect.

Answer:

A. "I will take my prescribed birth control pill every day."