A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?
Serve foods while still at a hot temperature.
Serve foods without sauces or gravies.
Instruct the client to drink liquids without a straw.
Offer mouth rinses with normal saline and water.
The Correct Answer is B
Choice A rationale:
Serving foods while still at a hot temperature (Choice A) is not an appropriate intervention for a client with stomatitis following radiation therapy. Stomatitis can cause inflammation and soreness in the mouth, and hot foods can further irritate the sensitive tissues, leading to increased discomfort and potential injury.
Choice B rationale:
Serving foods without sauces or gravies (Choice B) is the correct choice. Stomatitis often causes pain and discomfort in the mouth, and spicy or acidic foods, as well as those with sauces or gravies, can exacerbate this discomfort. Providing plain and bland foods can help reduce irritation and promote healing in sensitive oral tissues.
Choice C rationale:
Instructing the client to drink liquids without a straw (Choice C) is not a direct intervention for stomatitis. It's more commonly recommended for clients who have undergone oral surgery to prevent dislodging of blood clots. While it's generally a good practice for oral health, it might not significantly impact the discomfort caused by stomatitis.
Choice D rationale:
Offering mouth rinses with normal saline and water (Choice D) is generally a good practice for maintaining oral hygiene, but it might not be the most appropriate intervention for a client with stomatitis following radiation therapy. While rinsing can help keep the mouth clean, it might cause discomfort in the presence of stomatitis due to the potential for mechanical irritation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Total albumin is a valuable indicator of a client's nutritional status, but it has a longer half-life and is slower to reflect short-term changes. It may not accurately reflect the immediate effectiveness of total parenteral nutrition (TPN).
Choice B rationale:
Transferrin is a protein that transports iron in the body and is often used to assess iron deficiency. It is not a specific indicator of the effectiveness of TPN in the short term.
Choice C rationale:
Hemoglobin is a protein found in red blood cells and is responsible for oxygen transport. While it can be affected by nutritional status, it is not the most specific indicator of the effectiveness of TPN in the short term.
Choice D rationale:
Prealbumin (also known as transthyretin) is the best indicator for the nurse to monitor for the short-term effectiveness of TPN. Prealbumin has a short half-life of approximately 2 days, making it sensitive to changes in nutritional status and response to TPN. A decrease in prealbumin levels indicates inadequate nutritional support, while an increase suggests improved nutritional intake.
Correct Answer is D
Explanation
Choice A rationale:
Juvenile rheumatoid arthritis is not typically associated with complications of childhood obesity. Juvenile rheumatoid arthritis is an autoimmune disorder affecting the joints, and while obesity can contribute to joint stress, it's not a commonly taught complication of obesity.
Choice B rationale:
Type 1 diabetes mellitus is not directly related to childhood obesity. Type 1 diabetes is an autoimmune condition where the body's immune system attacks and destroys insulin-producing cells in the pancreas. Obesity is more commonly associated with type 2 diabetes, as it can lead to insulin resistance over time.
Choice C rationale:
Hypothyroidism is not a well-established complication of childhood obesity. Hypothyroidism is a condition where the thyroid gland doesn't produce enough thyroid hormone, leading to a slowed metabolism. While obesity can be influenced by thyroid function, it's not a primary complication taught in relation to childhood obesity.
Choice D rationale:
Hypertension is a well-recognized complication of childhood obesity. When a child is obese, the excess adipose tissue can lead to an increase in blood pressure due to increased work that the heart must perform to supply blood to the additional tissues. This can strain the cardiovascular system and potentially lead to hypertension, which is a major risk factor for heart disease and stroke. Childhood obesity can set the stage for long-term cardiovascular issues, making hypertension a key concern.
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