Question

A patient is beginning therapy with a DMARD (disease-modifying antirheumatic drug), oral methotrexate (Rheumatrex) for rheumatoid arthritis. What should the nurse include in the teaching to reduce the risks associated with this drug?

Select one:
a. Taking this drug with alcohol will enhance the absorption.
b. Avoid contact with others who may have infections, cold, or the flu.
c. Rotate the injections sites every time you give it.
d. Decrease your fluid intake while taking this drug

Answer 1

To reduce the risks associated with taking oral methotrexate for rheumatoid arthritis, the nurse should teach the patient to avoid contact with others who may have infections, practice good hygiene, and avoid alcohol.

Step-by-step explanation:

The nurse should include in the teaching to reduce the risks associated with taking oral methotrexate for rheumatoid arthritis that the patient should avoid contact with others who may have infections, cold, or the flu. This is important because methotrexate can weaken the immune system and increase the risk of infections. The nurse should also emphasize the importance of practicing proper hand hygiene and maintaining overall good hygiene habits to reduce the risk of infections. Additionally, the nurse should instruct the patient to avoid alcohol while taking methotrexate, as alcohol can increase the drug's toxicity and potential side effects.