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. Soy milk is not recommended for infants under one year of age. It does not provide the necessary nutrients for their growth and development.
B. Commercially prepared infant formula is specifically designed to meet the nutritional needs of infants. It is the best alternative to breast milk for infants having difficulty eating.
C. While warming milk might be comforting, it does not address the underlying issue of goat milk being an inappropriate nutritional source for a 10-month-old infant.
D. Breast milk is the best source of nutrition for infants. However, if breastfeeding is not possible, formula is the next best option.
Correct Answer is A
Explanation
A. Bedside computer keyboards are frequently touched by healthcare providers, visitors, and sometimes the patient themselves. This constant contact can lead to the accumulation of bacteria and viruses, making it a common source of healthcare-associated infections.
B. While protective gowns can harbor microorganisms, they are typically single-use items and disposed of after each patient, minimizing the risk of infection transmission.
C. Unopened formula bottles are sterile and not a source of infection.
D. Disposable diapers are designed to be hygienic and are not a significant source of infection.
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