A patient undergoing chemotherapy reports painful oral ulcers, difficulty eating, and a metallic taste in the mouth. The nurse suspects stomatitis. Which nursing intervention is most appropriate for this patient?

Encourage the patient to use an alcohol-based mouthwash to clean the oral cavity.

Advise the patient to avoid all oral intake until the ulcers heal completely.

Suggest the patient to brush their teeth vigorously to remove any bacteria from the mouth

Recommend the patient to consume soft, non-irritating foods and avoid acidic or spicy foods.

Answer and Explanation

The Correct Answer is D

A. Encourage the patient to use an alcohol-based mouthwash to clean the oral cavity:
Alcohol-based mouthwashes can irritate the oral mucosa and worsen the pain of stomatitis. Instead, non-alcoholic, soothing mouth rinses are recommended.

B. Advise the patient to avoid all oral intake until the ulcers heal completely: Patients still need proper nutrition, and complete avoidance of food can lead to malnutrition. Soft, non-irritating foods are encouraged rather than full avoidance.

C. Suggest the patient brush their teeth vigorously to remove any bacteria from the mouth: Vigorous brushing can worsen oral ulcers and lead to further pain and bleeding. A gentle, soft-bristle toothbrush should be recommended.

D. Recommend the patient to consume soft, non-irritating foods and avoid acidic or spicy foods.
Consuming soft, bland, non-irritating foods and avoiding acidic or spicy foods helps reduce discomfort and prevent further irritation of oral ulcers, which is essential in managing stomatitis.

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Correct Answer is B

Explanation

A. I should avoid alcohol completely to prevent another episode of pancreatitis: This is correct advice, as alcohol is a common cause of pancreatitis and should be avoided.

B. I can resume my high-fat diet once my symptoms improve. A high-fat diet can trigger another episode of pancreatitis, as fat stimulates pancreatic enzymes that can exacerbate the condition. The patient should follow a low-fat diet.

C. I should take my prescribed medications as directed to manage my symptoms: This statement is appropriate and reflects adherence to the treatment plan.

D. I need to follow up with my healthcare provider regularly to monitor my condition: This is also correct, as regular monitoring is essential to managing pancreatitis.

A. The glomerular filtration rate decreases because inflammatory cells invade the already damaged kidneys. B. The glomerular filtration rate decreases because there is a reduction of blood flow to the kidneys. C. The glomerular filtration rate decreases because there is obstruction leading to the filtration system backing up and eventually shutting the kidneys down. D. The glomerular filtration rate decreases because there is injury to the renal tubular cells.

Correct Answer is D

Explanation

A. The glomerular filtration rate decreases because inflammatory cells invade the already damaged kidneys: Inflammation is not the primary mechanism of decreased GFR in ATN. It is more related to cellular damage and dysfunction.

B. The glomerular filtration rate decreases because there is a reduction of blood flow to the kidneys: While reduced blood flow can contribute to acute kidney injury, the ongoing decline in GFR in ATN is due to tubular damage, not ongoing ischemia.

C. The glomerular filtration rate decreases because there is obstruction leading to the filtration system backing up and eventually shutting the kidneys down: Obstruction is not the key issue in ATN; rather, it’s the tubular cell injury that disrupts filtration.

D. The glomerular filtration rate decreases because there is injury to the renal tubular cells. Acute tubular necrosis (ATN) involves damage to the renal tubular cells, which disrupts the ability of the nephrons to filter blood efficiently. This cellular injury is the primary cause of the decline in glomerular filtration rate (GFR) in ATN.

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A patient undergoing chemotherapy reports painful oral ulcers, difficulty eating, and a metallic taste in the mouth. The nurse suspects stomatitis. Which nursing intervention is most appropriate for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with acute pancreatitis is being discharged from the hospital. Which statement made by the patient indicates a need for further teaching regarding their discharge instructions?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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A patient undergoing chemotherapy reports painful oral ulcers, difficulty eating, and a metallic taste in the mouth. The nurse suspects stomatitis. Which nursing intervention is most appropriate for this patient?

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