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.

Answer and Explanation

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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Correct Answer is C

Explanation

A decreased level of consciousness in a client who had a head injury 2 days ago is a critical sign that requires immediate attention. This could indicate a serious complication such as brain swelling or bleeding. The other clients’ needs, while important, are not as immediately life- threatening and can be addressed after the client with the head injury is stabilized.

A. Request a prescription for an antiemetic. B. Determine if the nasogastric tube is in the correct position. C. Increase the nasogastric tube suction. D. Reposition the nasogastric tube.

Correct Answer is B

Explanation

Choice A rationale

While an antiemetic might help with the vomiting, it would not address the underlying issue of not having a bowel movement for 4 days. Therefore, this choice is incorrect.

Choice B rationale

If the client has a nasogastric tube, checking its position would be a good first step. If the tube is not in the correct position, it could be causing or contributing to the client’s symptoms.

Therefore, this choice is correct.

Choice C rationale

Increasing the suction on a nasogastric tube might help if the tube is functioning correctly and the problem is related to stomach contents not being properly evacuated. However, it would not be the first step before checking the position of the tube. Therefore, this choice is incorrect.

Choice D rationale

Repositioning the nasogastric tube might be necessary if it’s not in the correct position, but this would not be the first step before checking its position. Therefore, this choice is incorrect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a change-of-shift report, the nurse needs to prioritize care for four clients. Who should the nurse attend to first?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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