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    ATI RN VATI Maternal Newborn Proctored Exam

    A nurse is preparing to administer methotrexate to a client who is experiencing an ectopic pregnancy.Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A rationaleInforming the client to expect dark-colored stools is inaccurate for methotrexate administration. Dark stools typically indicate gastrointestinal bleeding, not a side effect of methotrexate.Choice B rationaleWearing two pairs of gloves is necessary when handling methotrexate as it is a cytotoxic drug. This protects healthcare workers from accidental exposure to the medication, which can be harmful.Choice C rationaleMethotrexate is typically administered intramuscularly or orally, not subcutaneously. Administering it subcutaneously is incorrect and would not be effective for treating an ectopic pregnancy.Choice D rationaleWhile it is essential to counsel the client on safe intercourse practices, instructing to use a condom for only 7 days post-administration is not specific or relevant to the methotrexate therapy for ectopic pregnancy.

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