A client who is receiving chemotherapy has developed stomatitis. Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel (UAP) who is assisting with the care of this client?

A. Red papules and pustules on the face: These lesions are typically associated with acne or bacterial skin infections rather than an allergic reaction. Loratadine, an antihistamine, would not be indicated for these types of skin eruptions.

B. Ulceration on the corner of the upper lip: Lip ulcers are generally caused by trauma, infection, or nutritional deficiencies. Antihistamines like loratadine are not effective in treating ulcerative lesions and would not be the appropriate intervention.

C. Red welts widespread over the chest: Widespread red welts are characteristic of urticaria, an allergic reaction involving histamine release. Loratadine, as an H1-receptor antihistamine, is indicated to reduce itching, redness, and swelling in this situation.

D. Ecchymosis and petechiae on the legs: These findings suggest bleeding or platelet disorders rather than histamine-mediated allergic reactions. Loratadine would not address the underlying cause, so it is not appropriate to administer in this case.

A. The PN will place a gait belt on the client prior to ambulation: Using a gait belt is a nursing intervention that enhances safety during ambulation, but it is not an outcome statement. Desired outcomes should describe the client’s behavior or achievement rather than the nurse’s actions.

B. The client will use self-affirmation statements to decrease fear: Positive self-talk may help reduce anxiety, but it does not address the measurable improvement in physical mobility. The goal should reflect functional progress in ambulation, which indicates recovery and confidence.

C. The physical therapist will instruct the client in the use of a walker: This describes an interdisciplinary intervention rather than a client-centered outcome. While physical therapy support is important, the desired outcome should focus on what the client is expected to accomplish.

D. The client will ambulate with assistance q4 hours: This outcome is specific, measurable, and directly related to the diagnosis of impaired mobility. It demonstrates progress toward overcoming the fear of falling through supported activity and aligns with nursing goals to restore safe mobility.