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 C
Explanation
A. A heart rate of 104/min may indicate continued hypovolemia or a compensatory response to volume loss.
B. Pitting edema suggests fluid overload rather than effective treatment of hypovolemia.
C. A blood pressure of 124/74 mm Hg within or close to the normal range indicates improved volume status and effective treatment of hypovolemia.
D. Increased hematocrit suggests hemoconcentration due to volume loss rather than effective treatment.
Correct Answer is C
Explanation
A. Oxycodone does not primarily inhibit prostaglandin synthesis. This action is more characteristic of nonsteroidal anti-inflammatory drugs (NSAIDs).
B. Blocking sodium channels is not the main mechanism of oxycodone. This effect is more relevant to local anesthetics, not opioids like oxycodone.
C. Oxycodone causes central nervous system depression, leading to a decreased respiratory rate. It acts on the brainstem respiratory centers, which can slow down breathing and even lead to respiratory arrest in high doses.
D. Oxycodone's primary effect is not on cranial artery vasodilation. Its main effects are analgesia and central nervous system depression, which includes respiratory depression.
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