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
A relaxed facial expression can indicate that the medication is having a therapeutic effect and that the infant is experiencing pain relief.
Choice A is wrong because bradycardia is not an indication that the medication is having a therapeutic effect.
Choice C is wrong because increased blood pressure is not an indication that the medication is having a therapeutic effect.
Choice D is wrong because limb withdrawal is not an indication that the medication is having a therapeutic effect.
Correct Answer is C
Explanation
Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy.
This is because the child may be swallowing blood that is coming from the surgical site.
Choice A is wrong because a blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child.
Choice B is wrong because a heart rate of 54/min is within the normal range for a 5-year-old child.
Choice D is wrong because flushing of the face is not an indication of hemorrhage following a tonsillectomy and adenoidectomy.
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