A client is receiving her third course of chemotherapy. What will the nurse teach her about managing stomatitis, an adverse effect of this drug involving inflammation of the oral mucosa?

"Be sure to examine your mouth daily for bleeding painful areas, and ulcerations."

"You need to increase your intake of foods containing fiber and citric acid."

"Be sure to watch for and report black, tarry stools immediately."

"You can take aspirin to prevent stomatitis."

Answer and Explanation

The Correct Answer is A

A. Daily examination monitors for any worsening that requires the attention of the provider
B. citric causes irritation and exacerbation of stomatitis
C. Black tarry stools are a sigh of upper gastrointestinal bleeding and not stomatitis
D. Aspirin is an antiplatelet that could cause bleeding

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Correct Answer is ["B","C"]

Explanation

following the rights of medications administration prevents errors, the rights include right client, right dosage, right drug, right route and right time and frequency. The nurse must always verify the administration order to the prescription before drug administration. Wherever there is doubt, the provider should be consulted to avoid errors.

A- Minimizing telephone and verbal orders is not a proven principle of preventing medication errors

D- Use of trade names increases risk of errors

E-Allergy assessment is not related to medication errors

A. Check the value of the client's current platelet count. B. Explain to the client that this is an expected adverse effect. C. Instruct the client to use an electric toothbrush. D. Have the client make an appointment to see the dentist.

Correct Answer is A

Explanation

A. Methotrexate can lead to decreased DNA synthesis in the bone marrow leading to low platelets count.
B. It should be anticipated but should be addressed
C. Electric brush does not address the underlying issue
D. low platelets could lead to life-threatening bleeding and hence should be addressed immediately

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A client is receiving her third course of chemotherapy. What will the nurse teach her about managing stomatitis, an adverse effect of this drug involving inflammation of the oral mucosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse can prevent medication errors by following which principles? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Correct Answer is A

Explanation

When monitoring a client who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply.)

A laxative has been ordered for a client. The nurse checks the client's medical history and would be concerned if which condition is present?