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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A quick-release knot allows for the restraints to be removed swiftly in case of an emergency. This is important to ensure that the child can be freed quickly if needed, such as if there is a sudden change in the child’s condition or an emergency arises.
B. This is not adequate for ensuring the child’s safety. Regular assessments are critical for monitoring the child's physical condition, circulation, and overall comfort while in restraints. Typically, the child should be assessed at least every 15-30 minutes, depending on the facility’s policy and the child’s condition, to prevent complications such as skin breakdown, impaired circulation, or increased distress.
C. The renewal of a restraint order typically must occur more frequently than every 48 hours. According to most regulations and facility policies, restraint orders are usually valid for a shorter period, often 24 hours, and must be renewed daily by a provider.
D. This is not appropriate and can be dangerous. Restraints should never be tied to bed rails because this can cause serious injury if the child moves or if there is any sudden movement of the bed. Instead, restraints should be secured to a part of the bed frame that moves with the bed and does not pose a risk of injury. Proper restraint attachment helps avoid entrapment and injury.
Correct Answer is D
Explanation
A. Pediculosis capitis, also known as head lice, is transmitted through direct head-to-head contact or by sharing personal items such as hats or combs. It is not transmitted via respiratory droplets, so droplet precautions are not required. Standard precautions for lice, such as treating the infestation and avoiding close contact, are appropriate.
B. Viral conjunctivitis, also known as pink eye, is primarily spread through direct contact with the eye secretions or contaminated objects. While viral conjunctivitis can be spread via contact, it does not require droplet precautions. Instead, proper hand hygiene and contact precautions are important to prevent the spread of the infection.
C. Hepatitis A is transmitted primarily through the fecal-oral route and not through respiratory droplets. Therefore, droplet precautions are not necessary. Standard precautions, including proper hand hygiene and safe food handling, are important for preventing the spread of hepatitis A.
D. Seasonal influenza (flu) is transmitted via respiratory droplets when an infected person coughs or sneezes. Droplet precautions are recommended for individuals with influenza to prevent the spread of the virus. This includes wearing masks, practicing good hand hygiene, and maintaining distance from others.
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