A patient receiving chemotherapy for chronic myelocytic leukemia has irritates mucous membranes. Which of the following mouth care interventions would the nurse include in the plan of care?

Swab teeth and mucous membranes four times daily with lemon-glycerin swabs

Brush teeth twice a day with a firm toothbrush

Use sponge Toothettes to clean teeth between meals

Use waxed floss between meals and at bedtime

Answer and Explanation

The Correct Answer is C

A.   Lemon-glycerin swabs can dry out and irritate oral tissues, increasing the risk of oral mucositis and infection.
B.   Using a firm toothbrush may be too harsh for irritated mucous membranes and can increase the risk of injury and bleeding.
C.   Gentle oral care is essential to avoid further irritation of the mucous membranes.

D. Flossing may be too abrasive for irritated mucous membranes and can increase the risk of bleeding and injury.

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Correct Answer is A

Explanation

A. Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B. Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C. Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D. While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Bleeding: The client's platelet count has dropped from 160,000/mm³ to 100,000/mm³, which is below the normal range (150,000 to 400,000/mm³). Platelets are essential for blood clotting, and a low count increases the risk of bleeding. Additionally, the prolonged PT (13.5 seconds) and elevated INR (2.2) further indicate a tendency toward bleeding.

Infection: The client's WBC count remains elevated at 15,500/mm³, which can be indicative of ongoing infection or inflammation. Patients with acute leukemia often have dysfunctional white blood cells, which impairs their ability to fight infections effectively.

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A patient receiving chemotherapy for chronic myelocytic leukemia has irritates mucous membranes. Which of the following mouth care interventions would the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the best indicator of fluid balance in the body?

Correct Answer is A

Explanation

A nurse is reviewing the medical record for a client who has acute leukemia Exhibits Select words from the choices to fill in each blank in the following sentence The client is at risk for developing and

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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