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?
Moisten the mucosa with lemon glycerin swabs.
Cleanse the gums with saline soaked gauze.
Administer oral viscous lidocaine.
Schedule routine oral care ever hr.
The Correct Answer is B
Choice A Reason:
Moisten the mucosa with lemon glycerin swabs. Lemon glycerin swabs might be too acidic and can cause irritation or discomfort in oral ulcers. Using them could exacerbate the toddler's condition.
Choice B Reason:
Cleanse the gums with saline-soaked gauze. This action can help maintain oral hygiene and reduce the risk of infection in the oral ulcers. Saline is gentle and can help keep the affected area clean without causing further irritation.
Choice C Reason:
Administer oral viscous lidocaine. Lidocaine is a local anesthetic that may be used in some cases for pain relief, but its use in oral ulcers for toddlers might not be recommended due to potential risks and concerns about ingestion, especially in young children.
Choice D Reason:
Schedule routine oral care every hour. While oral care is essential, performing it too frequently (every hour) might cause more discomfort and irritation to the already sensitive oral ulcers. Gentle, regular care is important, but excessive cleaning can be detrimental.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is A
Explanation
Choice A Reason:
Steatorrhea is correct. Cystic fibrosis (CF) can lead to issues with digestion and absorption of nutrients due to problems with pancreatic enzymes. Steatorrhea, which is the passage of foul-smelling, fatty stools, is a common symptom in individuals with CF due to pancreatic insufficiency. It occurs because the body cannot properly digest and absorb fats, resulting in their presence in the stool.
Choice B Reason:
Weight gain is incorrect. Typically, children with CF might have difficulty gaining weight due to malabsorption issues, despite having a good appetite.
Choice C Reason:
Rhinorrhea is incorrect. While respiratory symptoms like chronic cough and recurrent infections are common in CF due to thick mucus production, rhinorrhea (runny nose) might not be a prominent feature directly associated with CF.
Choice D Reason:
Visible peristalsis is incorrect. This refers to the visible movement of the intestines through the abdomen, which is not typically associated with CF. CF primarily affects the respiratory and digestive systems, and visible peristalsis is not a common finding specifically related to CF.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today