A nurse is contributing to the development of an oral care protocol for clients who are receiving chemotherapy. Which of the following resources should the nurse utilize to identify interventions?
Standards of care published by the Oncology Nursing Society
Recommendations from a nurse who has worked in an outpatient chemotherapy clinic
A qualitative study exploring clients’ perspectives on receiving chemotherapy
A chapter on chemotherapy in a published textbook
The Correct Answer is A
A. Standards of care published by reputable organizations, such as the Oncology Nursing Society, provide evidence-based guidelines and best practices.
B. While the experience of a nurse in a chemotherapy clinic is valuable, it may not represent standardized, evidence-based practices.
C. A qualitative study may provide insights into clients' perspectives but may not necessarily offer specific interventions for oral care.
D. Published textbooks can be valuable resources, but standards of care from professional organizations are generally more up-to-date and evidence-based.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Vomiting is not a specific manifestation of sepsis.
B. Hypertension is not a typical finding in sepsis; hypotension is more common.
C. Altered mental status, such as confusion or lethargy, can be a sign of sepsis- induced organ dysfunction.
D. While an elevated white blood cell (WBC) count is often seen in infection, it alone does not indicate sepsis. The key in sepsis is the body's dysregulated response to infection leading to organ dysfunction.
Correct Answer is A
Explanation
A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.
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