A nurse is caring for a client in the clinic.

Exhibits

Which of the following client statements indicates to the nurse the teaching was effective?
Select all that apply.

“I will perform oral hygiene using a firm-bristle toothbrush."

“I will avoid taking folic acid supplements while taking this medication."

"I will rinse with saline every 2 hours while awake."

"I will avoid consuming alcoholic beverages."

"I will consume foods that are soft or semisolid."

Answer and Explanation

Correct Answer : C,D,E

A.   A firm-bristle toothbrush can cause further irritation and trauma to the already sensitive and lesioned oral mucosa. A soft-bristle toothbrush is recommended instead. This statement indicates a misunderstanding of proper oral care in the context of stomatitis.
B.   Methotrexate can cause folic acid deficiency, and taking folic acid supplements is often recommended to mitigate some side effects of methotrexate, including oral mucositis. Avoiding folic acid supplements is not correct in this context and indicates a misunderstanding of the appropriate use of supplements.
C.   Saline rinses help to keep the mouth clean and can soothe mucosal irritation and lesions associated with stomatitis. This indicates effective teaching as it is a recommended intervention for managing stomatitis.

D.   Alcohol can irritate the oral mucosa and exacerbate stomatitis. Avoiding alcohol helps prevent further irritation and promotes healing, indicating the client understood the teaching.
E.   Consuming soft or semisolid foods can reduce irritation and trauma to the oral mucosa, which is important for clients with stomatitis. This shows that the client has understood and can implement dietary modifications to manage their condition.

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Correct Answer is C

Explanation

A. This response is dismissive of the client's fear and does not provide supportive care.
B. This statement is authoritative and may increase the client's anxiety without addressing their concerns.
C. Offering to discuss other treatment options shows empathy and a willingness to find a solution that respects the client's preferences and fears.
D. Minimizing the client's fear by downplaying the pain does not address their underlying anxiety about needles.

A. "You should avoid the sun while taking this medication." B. "You should use an alternate form of birth control while taking this medication." C. " is common to experience headache or blurred vision while taking this medication." D. "This medication may cause constipation." E. "You should take this medication with dairy products."

Correct Answer is ["A","B"]

Explanation

A. Doxycycline can increase sensitivity to sunlight, leading to a higher risk of sunburn. Advising the client to avoid the sun or use sun protection helps prevent this adverse effect.
B. Antibiotics like doxycycline can reduce the effectiveness of combined oral contraceptives. Using an alternate form of birth control ensures continued contraceptive protection while on the antibiotic.

C. While headaches and blurred vision can be side effects of doxycycline, they are not among the most common side effects that need to be emphasized during teaching.
D. Constipation is not a common side effect of doxycycline. Common side effects include gastrointestinal upset such as nausea, diarrhea, and esophageal irritation.
E. Doxycycline should not be taken with dairy products as calcium can interfere with its absorption, reducing the effectiveness of the medication. The client should be advised to take it with a full glass of water and to avoid dairy close to the time of taking the medication.

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A nurse is caring for a client in the clinic. Exhibits Which of the following client statements indicates to the nurse the teaching was effective? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client in a provider's office. Exhibits Select the 2 statements the nurse should include in the teaching. Select the 2 statements the nurse should include in the teaching.

Correct Answer is ["A","B"]

Explanation

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A nurse is caring for a client in the clinic.

Exhibits

Which of the following client statements indicates to the nurse the teaching was effective?
Select all that apply.