A nurse is caring for a client in the clinic.
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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Urine output may be monitored but is not the primary parameter for titrating a nitroprusside infusion.
B. Cardiac output and stroke volume may indirectly reflect the effects of nitroprusside infusion but are not typically used for titration purposes.
C. Cardiac output and stroke volume may indirectly reflect the effects of nitroprusside infusion but are not typically used for titration purposes.
D. Titration of nitroprusside infusion is primarily guided by blood pressure monitoring to achieve the desired therapeutic effect while avoiding hypotension.
Correct Answer is C
Explanation
A. Diarrhea is not a contraindication for atropine administration.
B. Diverticulitis is not a contraindication for atropine administration.
C. Glaucoma is a contraindication for atropine due to its mydriatic effects, which can exacerbate intraocular pressure and worsen glaucoma.
D. Bronchospasms are not a contraindication for atropine administration, as atropine can be used to treat bronchoconstriction in certain situations.
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