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?
Provide gentle and meticulous mouth care.
Keep the room environment free of unpleasant odors.
Assist the client with feeding at meal times.
Gather supplies for protective environment precautions.
The Correct Answer is A
A. Provide gentle and meticulous mouth care: Stomatitis causes painful inflammation and ulceration of the oral mucosa. Gentle, thorough oral care reduces the risk of infection, promotes healing, and helps maintain oral hygiene, making this the most important instruction for the UAP.
B. Keep the room environment free of unpleasant odors: Minimizing odors can help with nausea, but it does not directly address stomatitis care. This is a supportive measure, not a primary intervention.
C. Assist the client with feeding at meal times: Assistance with feeding is helpful for comfort and nutrition, but it does not directly manage the oral lesions or reduce infection risk.
D. Gather supplies for protective environment precautions: Protective environment precautions are primarily used for clients with severe immunosuppression. While important in some chemotherapy settings, the key intervention for stomatitis is proper oral care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the client to provide a detailed description about the quality of the pain: Subjective data are obtained directly from the client’s verbal report. Asking the client to describe the pain’s quality, intensity, and location validates the nurse’s observation and provides essential information for accurate pain assessment and management.
B. Review the medication record and note when the client last received an analgesic: This provides objective data about pain management but does not validate the client’s current pain experience, which must come from the client’s own report.
C. Compare the client’s current vital signs with vital signs taken earlier in the day: Changes in vital signs, such as increased pulse or blood pressure, are objective indicators of pain, but they cannot confirm the client’s subjective experience.
D. Consult with the charge nurse about the manifestations that the client is exhibiting: Discussing observations with another nurse may be appropriate later, but validation of pain requires direct communication with the client, not secondary consultation.
Correct Answer is ["1.5"]
Explanation
Convert the available dose from grams (g) to milligrams (mg).
Available dose = 1 gram
Conversion factor = 1 g = 1000 mg
Available dose = 1 g x 1000 mg/g = 1000 mg.
Identify the final concentration of the reconstituted solution.
Reconstituted dose = 1000 mg
Reconstituted volume = 3.0 mL
Concentration = 1000 mg/3.0 mL
Calculate the volume in milliliters (mL) to administer.
Prescribed dose = 500 mg
Volume (mL) = (Prescribed dose (mg) / Available concentration (mg)) x Available volume (mL)
= (500 mg / 1000 mg) x 3.0 mL
= 0.5 x 3.0 mL
= 1.5 mL
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.