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?

"Use a soft-bristled toothbrush when platelet levels are low."

"Encourage eating by providing your child with their favorite foods."

"Rinse your child's mouth with chlorhexidine mouthwash if they develop stomatitis."

"Ensure you administer an antiemetic for 12 hr after chemotherapy."

Answer and Explanation

The Correct Answer is A

A.   Chemotherapy can decrease platelet count, increasing the risk of bleeding. A soft-bristled toothbrush helps prevent gum bleeding.
B.   This might help stimulate appetite but it doesn't address the specific concerns related to chemotherapy side effects.
C.   If stomatitis develops, which is a painful inflammation and ulceration of the mouth, rinsing with a mild saline solution is generally recommended rather than chlorhexidine mouthwash, which can sometimes cause irritation.
D.   Antiemetics should be administered as needed based on the child's symptoms, not on a fixed schedule.

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Correct Answer is C

Explanation

A. This is typical behavior for an 18-month-old toddler. They often play alongside others without interacting directly.
B. This is a normal developmental milestone for an 18-month-old child.
C. An 18-month-old child should be able to walk independently. Difficulty walking with assistance could indicate a potential developmental delay.
D. While vocabulary varies, most 18-month-olds can say a few words. This is within the normal range.

A. Monitor the newborn's temperature every 2 hr. B. Place mittens on the newborn's hands. C. Apply lotion to the newborn's skin. D. Check the newborn's eyes every 8 hr.

Correct Answer is A

Explanation

A. Phototherapy can increase a newborn's body temperature. Frequent monitoring is essential to prevent overheating.
B. Mittens may be used but their use is not directly related to phototherapy.
C. Applying lotion can interfere with the effectiveness of phototherapy. The newborn's skin should be kept clean and dry.
D. The newborn's eyes should be checked more frequently, typically every 4 hours, to monitor for any irritation or inflammation caused by the light.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?

Correct Answer is C

Explanation

A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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