A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take?

Discourage the use of a straw.

Offer the client frozen bananas as a snack.

Serve the client hot meals.

Avoid serving sauces or gravies.

Answer and Explanation

The Correct Answer is B

The correct answer is: b. Offer the client frozen bananas as a snack.

Choice A: Discourage the use of a straw

Discouraging the use of a straw is not the best intervention for a client with stomatitis following radiation therapy. While using a straw might cause some discomfort, it is not a primary concern. The focus should be on providing soothing and non-irritating foods.

Choice B: Offer the client frozen bananas as a snack

Offering the client frozen bananas as a snack is an appropriate intervention. Frozen bananas can provide a soothing effect on the inflamed oral tissues and are less likely to cause irritation compared to other foods. They are also nutritious and easy to consume, making them a suitable option for clients with stomatitis.

Choice C: Serve the client hot meals

Serving hot meals is not recommended for clients with stomatitis. Hot foods can exacerbate the discomfort and irritation in the mouth, making it more painful for the client to eat. It is better to serve foods at a moderate or cool temperature to avoid further irritation.

Choice D: Avoid serving sauces or gravies

Avoiding sauces or gravies is not the best intervention for a client with stomatitis. While some sauces or gravies might be irritating, others can be soothing and help make the food easier to swallow. The key is to choose mild and non-spicy options that do not irritate the oral tissues.

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Correct Answer is D

Explanation

Choice A reason: Crohn's disease is not commonly associated with obesity, although obesity can worsen the symptoms and complications of Crohn's disease. Crohn's disease is a type of inflammatory bowel disease that causes inflammation and ulcers in the digestive tract, especially the small intestine and colon. The exact cause of Crohn's disease is unknown, but it may involve genetic, immune, and environmental factors.

Choice B reason: Celiac disease is not commonly associated with obesity, although obesity can make the diagnosis of celiac disease more difficult. Celiac disease is an autoimmune disorder that causes damage to the small intestine when gluten, a protein found in wheat, barley, and rye, is ingested. The damage interferes with the absorption of nutrients and can lead to malnutrition, anemia, and osteoporosis.

Choice C reason: Peptic ulcer disease is not commonly associated with obesity, although obesity can increase the risk of complications from peptic ulcer disease. Peptic ulcer disease is a condition that causes sores or ulcers in the lining of the stomach or duodenum, the first part of the small intestine. The most common causes of peptic ulcer disease are infection with Helicobacter pylori bacteria and use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice D reason: Gastroesophageal reflux disease (GERD) is commonly associated with obesity, as obesity can increase the pressure on the lower esophageal sphincter (LES), the muscle that prevents the backflow of stomach acid into the esophagus. GERD is a condition that causes heartburn, regurgitation, chest pain, and difficulty swallowing due to the reflux of stomach acid into the esophagus. GERD can also lead to esophagitis, Barrett's esophagus, and esophageal cancer.

A. Peas B. Dried apricots C. Canned pears D. Cashews

Correct Answer is C

Explanation

Choice A reason: Peas are not a good choice for a mechanical soft diet, as they are small and round and can pose a choking hazard. Peas also require some chewing to break them down, which may be difficult for the client.

Choice B reason: Dried apricots are not a good choice for a mechanical soft diet, as they are hard and sticky and can damage the teeth or dentures. Dried apricots also require a lot of chewing to swallow them, which may be painful or tiring for the client.

Choice C reason: Canned pears are a good choice for a mechanical soft diet, as they are soft and moist and can be easily mashed with a fork. Canned pears do not require much chewing and can be swallowed smoothly.

Choice D reason: Cashews are not a good choice for a mechanical soft diet, as they are hard and crunchy and can injure the gums or oral mucosa. Cashews also require a lot of chewing and can get stuck in the teeth or dentures.

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A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take?

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