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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Painless lymphadenopathy, especially in the cervical, supraclavicular, or mediastinal areas, is a hallmark feature of Hodgkin lymphoma, reflecting the disease's characteristic pattern of lymph node involvement.
B. Pruritis can occur in Hodgkin lymphoma, and can either be focal or generalized.
C. Generalized feelings of discomfort, fatigue, or unease are common in Hodgkin lymphoma due to the effects of the disease on the immune system, as well as potential systemic symptoms such as fever, night sweats, and weight loss.
D. While cough can occur in advanced stages of Hodgkin lymphoma, it is not a defining clinical manifestation and is more commonly associated with respiratory infections or complications.
E. Fever is one of the B symptoms which are associated with Hodgkin Lymphoma.
However, the fever is often low-grade and can be associated with Pel-Ebstein fever which is intermittent fever periods with high temperature followed by afebrile periods.
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.
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