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 C

Explanation

A. Jaundice is typically not visible in the webbed areas of the fingers.

B. The nail beds are part of the skin that can show jaundice, but they may also be aﬀected by other factors such as anemia, cyanosis, or nail polish.
C. The hard palate is a part of the oral mucosa that can show jaundice, especially in clients with dark skin tones.
D. This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The skin can show jaundice, but it may be difficult to detect in clients with dark skin tones.

A. dysuria B. Ammonia-smelling urine C. frequency D. amber urine E. urgency

Correct Answer is ["A","C","E"]

Explanation

A. Dysuria, or painful urination, is a common symptom of a urinary tract infection (UTI) due to irritation of the urinary tract lining by bacteria.
B. While strong-smelling urine can occur with a UTI, it's not specific to UTIs and can have other causes. Ammonia-smelling urine can be indicative of a UTI, especially if accompanied by other symptoms such as dysuria or frequency.
C. Increased frequency of urination can be a symptom of a UTI as the body attempts to flush out the bacteria causing the infection.
D. Amber urine color can result from concentrated urine due to dehydration but is not specific to a UTI.

E. Urinary urgency, or a sudden and compelling need to urinate, can be a symptom of a UTI due to irritation of the bladder lining by bacteria

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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

A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Correct Answer is C

Explanation

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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