A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child’s guardian asks about managing adverse effects.
Which of the following statements should the nurse make?
“Rinse your child’s mouth with chlorhexidine mouthwash if they develop stomatitis.”.
“Ensure you administer an antiemetic for 12 hours after chemotherapy.”.
“Encourage eating by providing your child with their favorite foods.”.
“Use a soft-bristled toothbrush when platelet levels are low.”. . .
The Correct Answer is D
The correct answer is D. “Use a soft-bristled toothbrush when platelet levels are low.”.
Choice A rationale
Rinsing the child’s mouth with chlorhexidine mouthwash if they develop stomatitis is not recommended. Chlorhexidine can be harsh and may cause further irritation in a child with stomatitis.
Choice B rationale
Ensuring the administration of an antiemetic for 12 hours after chemotherapy is not sufficient. Antiemetics should be given before, during, and after chemotherapy to effectively manage nausea and vomiting.
Choice C rationale
Encouraging eating by providing the child with their favorite foods is not always appropriate. Some foods may exacerbate nausea or be contraindicated during chemotherapy.
Choice D rationale
Using a soft-bristled toothbrush when platelet levels are low is correct. This helps prevent gum bleeding and injury, which is important for children with low platelet counts due to chemotherapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation but is not a common sign of low blood sugar levels.
Choice B rationale
Decreased appetite is not typically associated with hypoglycemia. Hypoglycemia usually causes symptoms such as shakiness, sweating, and confusion.
Choice C rationale
Thirst is not typically associated with hypoglycemia. It is more commonly a symptom of hyperglycemia (high blood sugar levels)9.
Choice D rationale
Shakiness or tremors are common signs of hypoglycemia. When blood sugar levels drop, the body responds by releasing adrenaline, which can cause shakiness.
Correct Answer is D
Explanation
Choice A rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. This ensures that the parents are aware of the risks, benefits, and alternatives to the procedure and have given their permission for it to be carried out.
Choice B rationale: Encouraging the parents to inspect toys for easily removable parts is an important preventive measure to avoid future incidents. However, this is not the immediate priority in this emergency situation. The primary focus should be on addressing the current issue, which involves obtaining informed consent for the necessary procedure.
Choice C rationale: Monitoring the child closely for the return of the gag reflex is important to ensure the child’s safety, especially after the procedure. However, this step is relevant after the endoscopy has been performed. The immediate priority is to obtain informed consent to proceed with the endoscopy.
Choice D rationale: Obtaining informed consent is the first priority in this scenario. Before any medical procedure can be performed, it is crucial to ensure that the parents are fully informed about the procedure, its risks, benefits, and alternatives, and have given their permission. This step is essential to respect the parents’ rights and to proceed with the necessary medical intervention safely and legally.
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