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 C
Explanation
Consistent care from the same nursing staff can help establish a routine and build trust between the infant and caregivers.
Choice A is wrong because giving an infant fruit juice between feedings does not address the underlying causes of failure to thrive.
Choice B is wrong because using half-strength formula when feeding the infant can exacerbate the problem by providing insufficient nutrition.
Choice D is wrong because keeping the infant in a visually stimulating environment does not address the underlying causes of failure to thrive.
Correct Answer is B
Explanation
The nurse should initiate droplet isolation precautions when admitting a child who has acute epiglottitis.
Epiglottitis is commonly caused by Haemophilus influenzae type B and can be transmitted through respiratory droplets.
Choice A is wrong because obtaining a throat culture is not recommended when epiglottitis is suspected, as it can cause further obstruction of the airway.
Choice C is wrong because assisting the child into a supine position can worsen the airway obstruction.
Children with epiglottitis prefer to sit upright with the chin extended and mouth open.
Choice D is wrong because checking oxygen saturation every 4 hours may not be frequent enough for a child with acute epiglottitis who may require continuous monitoring of oxygen saturation.
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