A client is receiving her third course of chemotherapy. What will the nurse teach her about managing stomatitis, an adverse effect of this drug involving inflammation of the oral mucosa?

"Be sure to examine your mouth daily for bleeding painful areas, and ulcerations."

"You need to increase your intake of foods containing fiber and citric acid."

"Be sure to watch for and report black, tarry stools immediately."

"You can take aspirin to prevent stomatitis."

Answer and Explanation

The Correct Answer is A

A. Daily examination monitors for any worsening that requires the attention of the provider
B. citric causes irritation and exacerbation of stomatitis
C. Black tarry stools are a sigh of upper gastrointestinal bleeding and not stomatitis
D. Aspirin is an antiplatelet that could cause bleeding

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Correct Answer is A

Explanation

Aspirin has an antiplatelet effect. It prevents aggregation of platelets and hence the formation for the primary platelets plug. This prevent formation of thrombus as a complication of an unstable atherosclerotic plaques.
The other actions of aspirin are not related to MI

A. use artificial saliva, sugarless gum, or hard candy to counteract dry mouth. B. Minimize the amount of fluid taken while on this drug. C. Discontinue the medication if adverse effects occur. D. Take the medication on an empty stomach to enhance absorption.

Correct Answer is A

Explanation

A. anticholinergics cause dry mouth due to reduced secretion in the salivary glands and artificial saliva is important
B. Fluid intake is encouraged especially due to dry mouth
C. Discontinuing medication without consulting the provider is inappropriate
D. Taking medication on an empty stomach isn’t related to absorption

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A client is receiving her third course of chemotherapy. What will the nurse teach her about managing stomatitis, an adverse effect of this drug involving inflammation of the oral mucosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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