A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy.
Which of the following actions should the nurse include in the plan of care?
Schedule routine oral care every 8 hours.
Moisten the mucosa with lemon glycerin swabs.
Administer oral viscous lidocaine.
Cleanse the gums with saline-soaked gauze.
The Correct Answer is D
Cleanse the gums with saline-soaked gauze.
This can help keep the mouth moist and clean, which is important for preventing infection and promoting healing of oral ulcers caused by chemotherapy.
Choice A is wrong because routine oral care should be performed more frequently than every 8 hours.
Choice B is wrong because lemon glycerin swabs can dry out and irritate the mucosa.
Choice C is wrong because oral viscous lidocaine should not be used in children due to the risk of toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Encourage physical activity as tolerated.
Children with sickle cell disease may need occasional rests from classroom activities but should be encouraged to participate in physical activity as tolerated.
Choice A is wrong because cold compresses are not recommended for pain management in sickle cell disease.
Choice C is wrong because there is no need for a child with sickle cell disease to wear a surgical mask to school.
Choice D is wrong because it is important for children with sickle cell disease to drink water throughout the day to avoid dehydration 1.
Correct Answer is A
Explanation
A 24-gauge catheter is the smallest-gauge catheter and is appropriate for administering IV fluids and medications to an infant.
Choice B is wrong because an opaque dressing would prevent the nurse from visualizing the insertion site.
Choice C is wrong because starting an IV in an infant’s foot can be painful and difficult to secure.
Choice D is wrong because IV sites should be changed every 72-96 hours or according to facility policy.
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