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","D"]
Explanation
A. Irregularly irregular: Atrial fibrillation is characterized by an irregularly irregular rhythm.
B. No identifiable P waves: P waves are typically absent in atrial fibrillation or may be difficult to identify.
C. PR interval is not typically measured in atrial fibrillation as it is not relevant to the rhythm.
D. Atrial rate not measurable: The atrial rate in atrial fibrillation is not measurable due to the rapid and irregular nature of the rhythm.
E. QRS interval is typically normal in atrial fibrillation and does not exceed 0.10 seconds.
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"A,C"}}
Explanation
Elevated BUN and creatinine levels are common indicators of impaired kidney function, which can be seen in chronic kidney disease (CKD) and glomerulonephritis. Flank pain is often associated with UTIs but can also occur in glomerulonephritis. Decreased RBCs (red blood cells) can be a sign of glomerulonephritis due to the loss of blood cells in the urine. Fever is typically associated with infection, making it more indicative of a UTI.
Peripheral edema is is most commonly associated with CKD and glomerulonephritis due to the retention of fluids and sodium. Hypertension is a common finding in CKD and can also be seen in glomerulonephritis.
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