A nurse is caring for a client who is receiving treatment for cancer and is experiencing stomatitis. Which of the following actions should the nurse take to help manage the condition?
Recommend consumption of cold items
Minimize the use of gravies and sauces.
Provide an alcohol-based mouthwash.
Discourage drinking with a straw.
The Correct Answer is A
Choice A rationale
Recommending consumption of cold items is a common intervention for managing stomatitis in clients receiving cancer treatment. Cold items can help to soothe the mouth and reduce pain. This is the correct choice.
Choice B rationale
Minimizing the use of gravies and sauces is not a standard intervention for managing stomatitis. While some clients may find these foods irritating, others may not.
Choice C rationale
Providing an alcohol-based mouthwash is not recommended for clients with stomatitis. Alcohol can dry out the mouth and exacerbate symptoms.
Choice D rationale
Discouraging drinking with a straw is not a standard intervention for managing stomatitis. Some clients may find that using a straw helps to bypass sore areas in the mouth.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Closing one’s eyes during wound dressing may indicate avoidance or denial, which are not effective coping strategies. It’s important for patients to be aware of their condition and participate in their care to the extent possible.
Choice B rationale
Spending the day staring at the TV may indicate withdrawal or depression, which are not signs of effective coping. Engaging in activities, socializing, and participating in physical therapy or rehabilitation can help improve mood and promote recovery.
Choice C rationale
While it’s normal for patients to want to stay home until they feel better or until they have completed reconstructive surgery, this statement alone does not necessarily indicate effective coping. It’s important for patients to gradually resume normal activities and social interactions as their condition allows.
Choice D rationale
Expressing a desire to see the surgical site indicates acceptance and a willingness to participate in care, which are signs of effective coping. This shows that the patient is taking an active role in their recovery and is not avoiding or denying their condition.
Correct Answer is A
Explanation
Choice A rationale
For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.
Choice B rationale
Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.
Choice C rationale
Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.
Choice D rationale
Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.
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