A nurse is caring for a client who is receiving treatment for cancer and is experiencing stomatitis. Which of the following actions should the nurse take to help manage the condition?
Recommend consumption of cold items
Minimize the use of gravies and sauces.
Provide an alcohol-based mouthwash.
Discourage drinking with a straw.
The Correct Answer is A
Choice A rationale
Recommending consumption of cold items is a common intervention for managing stomatitis in clients receiving cancer treatment. Cold items can help to soothe the mouth and reduce pain. This is the correct choice.
Choice B rationale
Minimizing the use of gravies and sauces is not a standard intervention for managing stomatitis. While some clients may find these foods irritating, others may not.
Choice C rationale
Providing an alcohol-based mouthwash is not recommended for clients with stomatitis. Alcohol can dry out the mouth and exacerbate symptoms.
Choice D rationale
Discouraging drinking with a straw is not a standard intervention for managing stomatitis. Some clients may find that using a straw helps to bypass sore areas in the mouth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
Step 1: Identify the order. The order is for 15,000 units of heparin.
Step 2: Identify the available medication. The available medication is heparin 10,000 units/mL.
Step 3: Calculate the dose. To find out how many mL to administer, divide the number of units ordered by the number of units per mL. So, 15,000 units ÷ 10,000 units/mL = 1.5 mL. So, the nurse should administer 1.5 mL of heparin with each dose.
Correct Answer is B
Explanation
Choice A rationale
Fever is not typically a sign of fluid overload. It’s more commonly associated with a transfusion reaction, which could indicate an immune response to the transfused blood.
Choice B rationale
Dyspnea, or difficulty breathing, can be a sign of fluid overload. When the body has too much fluid, it can put pressure on the lungs, making it harder to breathe.
Choice C rationale
Pruritus, or itching, is not typically a sign of fluid overload. It may be a sign of an allergic reaction to the transfusion.
Choice D rationale
Bradycardia, or a slow heart rate, is not typically a sign of fluid overload. In fact, tachycardia, or a fast heart rate, is more common as the heart works harder to pump the excess fluid.
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