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 C
Explanation
The correct answer is Choice C.
Choice A rationale
Restricting the child’s strenuous activities for 3 days is important, but it is not the priority. Monitoring for signs of impaired circulation or complications is more critical.
Choice B rationale
Using a hair dryer on a cool setting to relieve itching can be helpful, but it is not the priority. The priority is to monitor for signs of impaired circulation.
Choice C rationale
Monitoring for pallor or swelling in the child’s affected hand is the priority because it can indicate impaired circulation or compartment syndrome, which are serious complications that require immediate attention.
Choice D rationale
Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications. .
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Vomiting can occur in infants with necrotizing enterocolitis, but it is not the most specific finding.
Choice B rationale
Hypertension is not typically associated with necrotizing enterocolitis.
Choice C rationale
A rounded abdomen is a common finding in infants with necrotizing enterocolitis due to intestinal swelling and gas accumulation.
Choice D rationale
Tachypnea can occur, but it is not as specific as a rounded abdomen.
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