A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis.
The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

I need to drink room temperature beverages.

I can take a prescribed analgesic to help manage the pain.

I need to be careful not to spread this to my family.

The chemotherapy affected my immune system.

Answer and Explanation

The Correct Answer is C

Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.

Choice B rationale

Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.

Choice C rationale

Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.

Choice D rationale

Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.

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Correct Answer is A

Explanation

Choice A rationale

Cataracts cause the lens of the eye to become cloudy, leading to a decreased ability to perceive colors. This is due to the scattering of light as it passes through the cloudy lens, which reduces the clarity and vibrancy of colors.

Choice B rationale

Loss of peripheral vision is more commonly associated with glaucoma, a condition where increased intraocular pressure damages the optic nerve.

Choice C rationale

Seeing bright flashes of light and floaters is typically a symptom of retinal detachment, a serious condition where the retina pulls away from its normal position.

Choice D rationale

Loss of central vision is often linked to macular degeneration, a condition that affects the central part of the retina responsible for sharp, detailed vision.

A. Avoid the use of insect repellent on the skin and clothing because of its toxicity. B. Avoid heavily wooded areas and areas with thick underbrush. C. Wear dark clothing when walking in wooded areas. D. Wear long-sleeved tops and long pants with closed shoes. E. If a tick is found, report to the primary health care provider immediately for a blood test to detect the presence of Lyme disease. F. Bathe after being in an infested area and inspect the body carefully for ticks.

Correct Answer is ["B","D","F"]

Explanation

Choice A rationale

Avoiding the use of insect repellent on the skin and clothing is not recommended. Insect repellents containing DEET are effective in preventing tick bites, which can transmit Lyme disease. The toxicity of DEET is minimal when used as directed.

Choice B rationale

Avoiding heavily wooded areas and areas with thick underbrush is recommended to reduce the risk of tick exposure. Ticks that carry Lyme disease are commonly found in these environments.

Choice C rationale

Wearing dark clothing is not recommended as it makes it harder to spot ticks. Light-colored clothing is preferable as it allows for easier detection of ticks.

Choice D rationale

Wearing long-sleeved tops and long pants with closed shoes is recommended to minimize skin exposure and reduce the risk of tick bites.

Choice E rationale

Reporting to the primary health care provider immediately for a blood test if a tick is found is not necessary. The presence of a tick does not immediately indicate Lyme disease. Instead, the tick should be removed promptly, and the area should be monitored for signs of infection.

Choice F rationale

Bathing after being in an infested area and inspecting the body carefully for ticks is recommended. This helps in early detection and removal of ticks, reducing the risk of Lyme disease.

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A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report:

Correct Answer is A

Explanation

Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

Correct Answer is ["B","D","F"]

Explanation

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A nurse is providing care to a child who has an allergy to eggs. The nurse should clarify a prescription for which of the following immunizations?

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?

A nurse is caring for a client who is postoperative following a left corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse’s priority?

A nurse is providing education for a client with glaucoma. Which of the following statements should the nurse include in the teaching?

Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?

A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis.
The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?