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 ["5"]
Explanation
The dosage is 80 mg/kg/day, and the child weighs 10 kg.
80 mg/kg/day * 10 kg = 800 mg/day
Since this is divided into two doses per day:
800 mg/day ÷ 2 doses = 400 mg per dose
Now, let's determine the amount of amoxicillin suspension needed for each dose:
The amoxicillin suspension is 400 mg per 5 mL.
400 mg per dose ÷ 400 mg per 5 mL = 5 mL per dose
Therefore, the nurse should administer 5 mL of amoxicillin suspension per dose to the 2-year-old client weighing 10 kg.
Correct Answer is B
Explanation
Choice A Reason:
Providing video games prior to bedtime might actually stimulate the child and make it harder for them to relax and fall asleep.
Choice B Reason:
Follow the child's home sleep routine to reduce anxiety. Maintaining consistency with the child's home sleep routine can provide familiarity and comfort, potentially reducing anxiety and promoting better sleep. This familiarity can help the child feel more secure and relaxed, aiding in the transition to sleep in an unfamiliar environment.
Choice C Reason:
Leaving the lights on in the child's room can disrupt the child's ability to achieve restful sleep as the environment may not be conducive to falling and staying asleep.
Choice D Reason:
Allowing the child to adjust their bedtime might not be the best approach in a hospital setting, as maintaining some routine and structure could be more beneficial for their recovery and overall well-being during the hospital stay.
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