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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"}}
Explanation
Temperature: Fever is a common symptom of both acute laryngotracheobronchitis (croup) and pneumonia.
Stridor: Stridor, a high-pitched, wheezing sound, is a classic sign of croup and upper airway obstruction. It is less common in pneumonia.
Irritability: Both croup and pneumonia can cause discomfort and distress in children, leading to irritability.
Cough: A cough, especially a barking cough, is characteristic of croup.
Correct Answer is A
Explanation
A. Neutropenia significantly increases the risk of infection. Raw fruits and vegetables can harbor bacteria, so they should be avoided.
B. Daily hygiene is essential to prevent infection, especially in a child with neutropenia. Bathing every other day increases the risk of skin breakdown and infection.
C. Rectal temperatures can introduce bacteria into the rectum. Given the increased infection risk, oral or axillary temperatures are preferred.
D. Live vaccines should be avoided in patients with neutropenia as they can cause severe infections.
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