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

Shutting off the intravenous infusion is the immediate action to take when a client reports difficulty swallowing during infliximab infusion. This could indicate an infusion reaction or anaphylaxis, which requires immediate cessation of the infusion to prevent further complications.

Choice B rationale

Notifying the primary health care provider is important, but the immediate action should be to stop the infusion to prevent further adverse reactions.

Choice C rationale

Having the client take deep breaths and try to relax is not appropriate in this situation, as it does not address the potential infusion reaction or anaphylaxis.

Choice D rationale

Obtaining a prescription for oral diphenhydramine may be part of the treatment for an infusion reaction, but the immediate action should be to stop the infusion. .

A. The medication is to be used for approximately 10 days followed by a gradual tapering off. B. The medication should be applied on a regular schedule for the rest of the client’s life. C. The medication will be used until the client’s intraocular pressure returns to normal. D. The medication is to be applied when the client is experiencing eye pain.

Correct Answer is B

Explanation

Choice A rationale

Timolol is a beta-blocker used to reduce intraocular pressure in patients with open-angle glaucoma. It is not intended for short-term use or gradual tapering off. The medication must be used consistently to maintain its therapeutic effect.

Choice B rationale

Timolol should be applied on a regular schedule for the rest of the client’s life to effectively manage intraocular pressure and prevent further damage to the optic nerve.

Choice C rationale

Timolol does not cure glaucoma or normalize intraocular pressure permanently. Continuous use is necessary to control the condition.

Choice D rationale

Timolol is not used as a pain reliever. It is specifically prescribed to manage intraocular pressure in glaucoma patients.

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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 client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?

Correct Answer is A

Explanation

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client’s chest. The lesion is raised and flesh-colored with pearly and waxy borders that are well defined. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?

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

The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?

A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

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?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

A nurse is monitoring a client who has experienced anaphylactic shock. Which manifestations are associated with this condition? Select all that apply.

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?