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

Gingko is a herb used for its antioxidant property and cholesterol lowering effect which lowers cardiovascular risk. It also has antiplatelet effects which increases the risk of bleeding in a client on anticoagulants.
Gingko has no interactions with the other listed medications

A. Avoid people who have infections. B. Practice frequent hand hygiene. C. Do not drink alcoholic beverages while taking this medication. D. Smoking will not affect this medication. E. Expect to feel the medication's effects immediately.

Correct Answer is ["A","B","C"]

Explanation

Methotrexate inhibits the synthesis of purines. Purines and pyrimidines are the building blocks of DNA synthesis in every cell in the body. It affects the production of white blood cells and hence lowers the immunity and hence the client is at a higher risk for infections

Avoiding infected persons and hand hygiene prevents infections. Alcohol should be avoided as it increases the risk of liver damage

E-it takes several weeks to months to produce its effects

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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

A client wants to take the herb gingko to help his memory. The nurse reviews his current medication list and would be concerned about potential interactions if he is taking a medication from which class of drugs?

Correct Answer is A

Explanation

A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 rnEq/L. Which statement about the laboratory result is correct?

A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client?

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

A laxative has been ordered for a client. The nurse checks the client's medical history and would be concerned if which condition is present?

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

When taking a telephone order for a medication, which action by the nurse is most appropriate?

When teaching a client who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?