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. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.
B. This meal is high in fat and may be difficult to digest after a cholecystectomy.

Whole milk can also be rich in fat, which may not be well tolerated.

C. This meal is lower in fat and includes easily digestible foods such as roast turkey and rice, which are generally well tolerated after a cholecystectomy. Gelatin dessert provides a light and refreshing option for dessert without adding excess fat.
D. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.

A. Atrial fibrillation B. Asystole C. Ventricular fibrillation D. Atrial flutter

Correct Answer is B

Explanation

A. Atrial fibrillation is characterized by rapid, irregular electrical impulses originating from the atria, resulting in a quivering or fibrillating motion of the atria rather than a coordinated contraction.
B. Asystole is the absence of any electrical activity on the cardiac monitor, resulting in a flat line. It indicates the absence of ventricular contraction and is considered a medical emergency requiring immediate intervention (CPR and advanced cardiac life support).
C. Ventricular fibrillation is characterized by chaotic, disorganized electrical activity in the ventricles, resulting in ineffective quivering of the ventricles and loss of cardiac output.
D. Atrial flutter is characterized by rapid but regular electrical impulses originating from the atria, resulting in a sawtooth pattern on the ECG tracing.

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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

The nurse reinforces teaching for a patient after a cholecystectomy. The nurse knows that the patient understands the diet if which menu items are selected?

Correct Answer is C

Explanation

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

Correct Answer is B

Explanation

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

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