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 avoid consuming alcoholic beverages."
“I will consume foods that are soft or semisolid."
"I will rinse with saline every 2 hours while awake."
“I will avoid taking folic acid supplements while taking this medication."
“I will perform oral hygiene using a firm-bristle toothbrush."
Correct Answer : A,B,C
A. "I will avoid consuming alcoholic beverages."- Alcohol can irritate the oral mucosa and worsen mouth pain associated with stomatitis. Avoiding alcoholic beverages can help alleviate discomfort.
B. "I will consume foods that are soft or semisolid."- Soft or semisolid foods are easier to chew and swallow, reducing irritation to the oral mucosa and discomfort caused by mouth pain.
C. "I will rinse with saline every 2 hours while awake."- Rinsing with saline can help keep the oral mucosa clean and promote healing of lesions associated with stomatitis. Frequent rinsing can also provide relief from mouth pain.
D. "I will avoid taking folic acid supplements while taking this medication."- Methotrexate is a folate antagonist, and folic acid supplements are typically avoided during treatment to enhance the effectiveness of the medication. Therefore, the client should not avoid taking folic acid supplements but should follow healthcare provider instructions regarding their use.
E. "I will perform oral hygiene using a firm-bristle toothbrush."- Using a firm-bristle toothbrush can further irritate the oral mucosa and exacerbate mouth pain. Instead, the client should use a soft-bristle toothbrush or consider other gentle oral hygiene measures recommended by their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
To calculate the dosage of chloramphenicol for the client, first convert the weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs.
The client's weight in kilograms is 132 lb divided by 2.2, which is approximately 60 kg. The total daily dose of chloramphenicol required is 50 mg/kg/day. Therefore, for a 60 kg client, the total daily dose is 50 mg/kg multiplied by 60 kg, resulting in 3000 mg/day. This total daily dose needs to be divided into 4 doses, which equals 750 mg per dose. Since the available medication concentration is 100 mg/mL, divide the dose in milligrams by the concentration to find the volume in milliliters.
So, 750 mg divided by 100 mg/mL equals 7.5 mL.
Correct Answer is C
Explanation
A) "I should take an antacid with this medication to prevent stomach upset." - Antacids can interfere with the absorption of iron, so they should not be taken together.
B) "I should stay upright for at least 15 minutes after taking this medication." - While staying upright can help prevent esophageal irritation, it is not specific to ferrous gluconate.
C) "I should notify my provider if my stools turn black." - Black stools can indicate gastrointestinal bleeding, a potential side effect of iron supplements, and should be reported to the provider.
D) "I should take this medication with 8 ounces of milk." - Calcium in milk can interfere with iron absorption and should not be taken together.
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