A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child's guardian asks about managing adverse effects. Which of the following statements should the nurse make?
"Use a soft-bristled toothbrush when platelet levels are low."
"Encourage eating by providing your child with their favorite foods."
"Rinse your child's mouth with chlorhexidine mouthwash if they develop stomatitis."
"Ensure you administer an antiemetic for 12 hr after chemotherapy."
The Correct Answer is A
A. Chemotherapy can decrease platelet count, increasing the risk of bleeding. A soft-bristled toothbrush helps prevent gum bleeding.
B. This might help stimulate appetite but it doesn't address the specific concerns related to chemotherapy side effects.
C. If stomatitis develops, which is a painful inflammation and ulceration of the mouth, rinsing with a mild saline solution is generally recommended rather than chlorhexidine mouthwash, which can sometimes cause irritation.
D. Antiemetics should be administered as needed based on the child's symptoms, not on a fixed schedule.
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Related Questions
Correct Answer is C
Explanation
A. This statement indicates a misunderstanding of HIV medication management. Medication regimens are carefully tailored and adjusted as needed, but doubling the dose without medical advice is dangerous.
B. There is no cure for HIV, and "remission" is not a term used in this context. Additionally, some live vaccines are contraindicated in immunocompromised individuals, including those with HIV.
C. People with HIV are at increased risk of tuberculosis. Regular TB testing is crucial for early detection and treatment.
D. While antiretroviral therapy (ART) can significantly reduce the viral load and risk of transmission, it doesn't eliminate the risk entirely. Consistent use of condoms and other prevention methods is still essential.
Correct Answer is D
Explanation
A. Toddlers are typically moving towards independence, not increased dependency. This is a stage of exploration and asserting their autonomy.
B. Toddlers are known for their intense emotions and rapid mood swings. This is a normal part of their development.
C. While toddlers can be unpredictable, they often thrive on routines. However, they also enjoy exploring new things, which can sometimes lead to resistance to established routines.
D. The "terrible twos" is a common phrase for a reason. Toddlers often assert their independence through negative responses, such as saying "no" or throwing tantrums.
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