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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A Reason:

Antacids are usually taken separately from PPIs because they can interfere with the absorption of PPIs.

Choice B Reason:

Pantoprazole is often taken before a meal, but it does not necessarily need to be taken on an empty stomach.

Choice C Reason:

Diarrhea is not a common side effect of pantoprazole, so the statement is not accurate.

Choice D Reason:

"I will need to remain upright for 1 hour after taking the medication."This statement indicates an understanding of the teaching. Pantoprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production. It is typically taken before a meal and should be followed by remaining upright for about 30 minutes to 1 hour to ensure optimal absorption. This helps prevent acid reflux symptoms and allows the medication to work effectively.

A. "I will put soiled dressings in a tied plastic bag before placing them in the trash." B. "I will use animal-skin condoms when having sex." C. "I will place used sharp items in an empty cereal box for disposal." D. "I will disinfect contaminated hard surfaces with a mixture of one part peroxide to 10 parts water."

Correct Answer is A

Explanation

Choice A Reason:

"I will put soiled dressings in a tied plastic bag before placing them in the trash." This statement indicates an understanding of proper infection prevention practices for someone who is HIV positive. Putting soiled dressings in a tied plastic bag before disposing of them in the trash helps contain potentially infectious materials and reduces the risk of accidental exposure to others.

Choice B Reason:

Using animal-skin condoms is not recommended for individuals with HIV. Latex or polyurethane condoms are recommended because they provide better protection against the transmission of HIV and other sexually transmitted infections.

Choice C Reason:

Placing used sharp items in an empty cereal box for disposal is not a safe method for handling sharps. Sharps should be disposed of in a puncture-resistant container specifically designed for sharps disposal.

Choice D Reason:

Using a mixture of one part peroxide to ten parts water for disinfecting hard surfaces may not be effective in killing all pathogens. It is better to use a commercially available disinfectant or follow specific guidelines for disinfection recommended by healthcare providers or public health agencies.

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A nurse is reinforcing teaching with a client who has stomatitis. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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