A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis.
The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

I need to drink room temperature beverages.

I can take a prescribed analgesic to help manage the pain.

I need to be careful not to spread this to my family.

The chemotherapy affected my immune system.

Answer and Explanation

The Correct Answer is C

Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.

Choice B rationale

Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.

Choice C rationale

Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.

Choice D rationale

Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.

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Correct Answer is D

Explanation

Choice A rationale

Stating that the client had an allergic reaction to the ordered meperidine is not objective and does not provide specific details about the client’s condition.

Choice B rationale

Notifying the primary health care provider because the client developed a rash after receiving an opioid analgesic is important, but it does not include all the necessary details about the client’s condition.

Choice C rationale

Documenting that the client’s skin was warm and flushed, and a rash was noted on the chest and back is important, but it does not include the timing of the reaction or the client’s temperature.

Choice D rationale

Documenting that thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C), the client’s skin was warm and flushed, and a rash was noted on the chest and back provides a complete and objective account of the client’s condition and the timing of the reaction.

Correct Answer is ["5"]

Explanation

Step 1 is: Calculate the amount of diphenhydramine elixir needed per dose. 25 mg ÷ (12.5 mg ÷ 5 mL) = 10 mL The nurse should administer 10 mL per dose.

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A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 6 hours as needed. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

Correct Answer is ["5"]

Explanation

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A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis.
The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?