The nurse in the orthopedic unit is caring for a 46-year-old female client.
1840:Admitted with a broken ankle; surgery planned for tomorrow. Medication history: methotrexate 7.5 mg PO for rheumatoid arthritis. Since a pharmacy refill 6 days ago, the client has taken a 7.5 mg dose every morning. Also takes ibuprofen twice a day for wrist pain. Long-standing dry mouth and morning stiffness in both hands that lasts about an hour. Painful sores inside the mouth for 2 days.
1900:Admission orders received from the primary health care provider (PHCP), including a prescription for methotrexate 7.5 mg PO daily.
Complete the following sentences by choosing from the lists of options.
For rheumatoid arthritis, methotrexate is taken .
After reviewing the methotrexate prescription, the nurse should .
The finding that points to methotrexate toxicity is the client's .
Taking ibuprofen with methotrexate makes toxicity .