A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?
Place chin down and tilt head for dyspahgia during meals.
Normal saline mouth rinses as swish and spit after meals and bedtime.
Eat high caloric meals to prevent weight loss.
Use a commercial mouthwash for xerostomia.
The Correct Answer is B
Choice A reason: Placing the chin down and tilting the head for dysphagia (difficulty swallowing) during meals is not directly related to managing mucositis. While it may help with swallowing difficulties, it does not address the inflammation and pain caused by mucositis.
Choice B reason: Normal saline mouth rinses as swish and spit after meals and bedtime is an effective intervention for managing mucositis. Rinsing with saline helps to keep the mouth clean, reduce bacterial load, and soothe inflamed tissues. It can also help to remove food particles and debris, reducing the risk of infection and promoting healing. Saline rinses are gentle and do not contain irritating ingredients, making them ideal for sensitive oral tissues affected by mucositis.
Choice C reason: Eating high caloric meals to prevent weight loss is important for overall nutrition, especially for clients undergoing cancer treatment. However, it does not specifically address the management of mucositis. High caloric meals alone will not alleviate the pain, inflammation, and ulceration associated with mucositis. Clients with mucositis often have difficulty eating due to pain, so focusing on soothing and healing the oral tissues is a priority before addressing caloric intake.
Choice D reason: Using a commercial mouthwash for xerostomia (dry mouth) is not recommended for managing mucositis. Many commercial mouthwashes contain alcohol and other harsh ingredients that can further irritate the already inflamed mucous membranes. It is better to use a gentle and soothing rinse, such as saline, to manage mucositis symptoms and promote healing of the oral tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Obtaining a prostate-specific antigen (PSA) blood level test is important for screening and monitoring prostate health but does not directly reduce the risk factors for benign prostatic hyperplasia (BPH). PSA tests can help in early detection of prostate issues, but they are not preventive measures.
Choice B reason: Taking vitamin supplements is not specifically proven to reduce the risk of BPH. While maintaining overall nutritional health is important, there is no direct evidence that vitamin supplements alone can prevent BPH. It's better to focus on a balanced diet and healthy lifestyle choices.
Choice C reason: Consuming a high-protein diet does not specifically reduce the risk of BPH. While protein is an essential nutrient for overall health, there is no clear evidence that it has a direct impact on preventing BPH. A balanced diet that includes a variety of nutrients is more beneficial for general health and well-being.
Choice D reason: Increasing physical activity is one of the recommended lifestyle changes to reduce the risk of BPH. Regular physical activity can improve overall health, help maintain a healthy weight, and potentially reduce the risk of BPH. Physical activity is associated with better prostate health and can help mitigate some of the risk factors associated with BPH, such as obesity and sedentary lifestyle.
Correct Answer is C
Explanation
Choice A reason: Central line insertion is not the appropriate intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates airway obstruction, which requires immediate airway management, not central venous access. Inserting a central line would not address the underlying issue of compromised airway patency, and it would delay necessary interventions to secure the airway.
Choice B reason: Nasogastric tube (NGT) insertion is not the correct intervention for stridor. NGT insertion is typically used for gastrointestinal decompression or feeding, not for managing airway obstruction. In the context of a client experiencing stridor, the priority is to ensure a patent airway, not to manage gastrointestinal issues. NGT insertion could potentially exacerbate airway compromise in a client with stridor.
Choice C reason: Tracheostomy placement is the correct intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates a potential airway obstruction, which can be life-threatening. A tracheostomy provides a secure airway and ensures adequate ventilation. This procedure is particularly important in cases where upper airway obstruction is suspected, such as swelling or hematoma formation following neck surgery.
Choice D reason: Pacemaker placement is not relevant to managing stridor. Pacemakers are used for cardiac rhythm management and do not address airway obstruction. The immediate concern for a client with stridor is ensuring a patent airway, and pacemaker placement would not resolve the airway compromise.
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