A client with leukemia is experiencing severe mucositis as a side effect of chemotherapy. Which nursing intervention should be prioritized to manage mucositis?
Encouraging the use of alcohol-based mouthwash
Providing ice chips and cold beverages
Administering prescribed pain medications
Encouraging the consumption of spicy foods
The Correct Answer is C
A) This choice is incorrect because alcohol-based mouthwash can further irritate the mucosal lining and worsen mucositis. It should be avoided.
B) This choice is incorrect because ice chips and cold beverages may provide temporary relief, but pain medication is the priority intervention to manage severe mucositis and alleviate discomfort.
C) This choice is correct. Administering prescribed pain medications, such as topical analgesics or systemic pain relief, is essential in managing the severe pain associated with mucositis.
D) This choice is incorrect because spicy foods can aggravate mucositis and should be avoided to prevent further irritation of the mucosal lining.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because peripheral neuropathy is more commonly associated with certain chemotherapy drugs, not radiation therapy.
B) This choice is incorrect because nausea and vomiting are common side effects of chemotherapy, not radiation therapy.
C) This choice is incorrect because alopecia (hair loss) is more commonly associated with chemotherapy, not radiation therapy.
D) This choice is correct. Neutropenia, which is a decrease in the number of neutrophils (a type of white blood cell), is a potential side effect of radiation therapy. This can increase the client's risk of infection, and regular monitoring of blood counts is necessary during treatment.
Correct Answer is ["B","C","D","E"]
Explanation
A) This choice is incorrect because unexplained weight gain is not a common symptom of leukemia. Weight loss may be more typical in some cases.
B) This choice is correct. Easy bruising and bleeding are common manifestations of leukemia due to a decreased number of healthy blood cells and platelets, which are responsible for clotting.
C) This choice is correct. Persistent fatigue and weakness are common symptoms of leukemia. Leukemia can lead to a decrease in normal blood cells, causing anemia and leading to fatigue and weakness.
D) This choice is correct. Leukemia can weaken the immune system, making the person more susceptible to infections, leading to frequent infections and fever.
E) This choice is correct. Leukemia can cause the enlargement of lymph nodes, leading to painful and swollen lymph nodes.
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