A nurse is reinforcing teaching with a client who has stomatitis. Which of the following instructions should the nurse include in the teaching?
CONTINUE Eat foods high in vitamin B12-
Consume soft, bland foods.
Use lemon glycerin swabs.
Rinse the mouth with an alcohol-based mouthwash.
The Correct Answer is B
Choice A Reason:
Continuing to eat foods high in vitamin B12 is generally a good dietary choice, but it should be done in a way that minimizes irritation to the inflamed oral tissues. The client should choose foods that are soft and gentle on the mouth.
Choice B Reason:
Consume soft, bland foods is correct. When providing instructions to a client with stomatitis (inflammation of the mouth), it's important to recommend a diet that is gentle on the irritated oral tissues. Consuming soft, bland foods can help minimize further irritation and discomfort. Examples of suitable foods may include mashed potatoes, yogurt, oatmeal, applesauce, and other similar items that are easy to chew and swallow.
Choice C Reason:
Using lemon glycerin swabs is not recommended for clients with stomatitis. Lemon can be acidic and may further irritate the mouth. Glycerin swabs alone may be used for oral care, but the lemon component should be avoided.
Choice D Reason:
Rinsing the mouth with an alcohol-based mouthwash is not advisable for clients with stomatitis. Alcohol-based mouthwashes can be harsh and may exacerbate the irritation and pain associated with stomatitis. Clients should be encouraged to use non-alcoholic, mild oral rinses or saline rinses as recommended by their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
Explanation
The client's symptoms are concerning for angina or a possible myocardial infarction (heart atack) and require immediate intervention. Nitroglycerin is a medication that can help relieve chest pain associated with cardiac events by dilating blood vessels and reducing the workload on the heart.
Therefore, the nurse should administer nitroglycerin as ordered by the provider. After administering nitroglycerin, the nurse should obtain an ECG to assess for any changes in cardiac rhythm or evidence of ischemia (lack of blood flow to the heart muscle).
The ECG can provide important diagnostic information and guide further treatment decisions.
Correct Answer is D
Explanation
Choice A Reason:
The client wanting to talk about the diagnosis with nursing staff indicates a desire for communication and support, which may be an expression of hope or a way to cope with the diagnosis.
Choice B Reason:
Requesting a second opinion suggests that the client is actively seeking more information and exploring potential treatment options, which is not indicative of hopelessness.
Choice C Reason:
Having a decreased energy level can be a common physical and emotional response to a terminal illness but does not directly indicate hopelessness on its own. It may reflect the physical and emotional toll of the diagnosis and its treatment.
Choice D Reason:
The client makes funeral arrangements is correct. Making funeral arrangements is often seen as an indication of hopelessness in the context of a recent terminal illness diagnosis. It suggests that the client has accepted the inevitability of their death and is preparing for it. While making arrangements can be a practical and important step, it may also indicate a sense of hopelessness or resignation.
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