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."
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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Related Questions
Correct Answer is B
Explanation
A. Amphotericin B is an antifungal medication used to treat serious fungal infections. Impetigo is a bacterial infection and would not be treated with this medication.
B. Impetigo is highly contagious and spread through direct contact. Contact isolation precautions are essential to prevent the spread of the infection to other patients.
C. Healthcare facilities may have internal protocols for reporting certain infections but impetigo is not typically a reportable disease to state health departments.
D. Lidocaine is a local anesthetic and is not indicated for the treatment of impetigo. Antibiotics are the appropriate treatment.
Correct Answer is D
Explanation
A. While chicken soup is often considered a comfort food, it's not ideal for an infant with acute diarrhea. It's too heavy and can worsen symptoms.
B. Sugary drinks like white grape juice can actually worsen diarrhea. They can also lead to dehydration due to increased water loss.
C. While applesauce was once recommended as part of the BRAT diet, it's not considered as beneficial as it once was. It's better to offer oral electrolyte solutions.
D. Oral electrolyte solutions (ORS) are specifically designed to replenish fluids and electrolytes lost through diarrhea. They are essential in preventing dehydration.
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