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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prick the central tip of the patient’s finger: The central tip of the finger has more nerve endings, making it more painful.Instead, the side of the fingertip should be used because it has fewer nerve endings and promotes better blood flow.
B. Apply the first drop of blood to the test strip: The first drop of blood may contain interstitial fluid or contaminants (e.g., alcohol residue), leading to inaccurate readings.Instead, the first drop should be wiped away, and the second drop should be used for testing.
C. Hold the patient’s finger in a dependent position:Holding the finger in a dependent position (below heart level) helps increase blood flow to the fingertip, making it easier to obtain an adequate blood sample without excessive squeezing, which could dilute the sample with tissue fluid.
D. Clean the patient’s finger with hexachlorophene: Hexachlorophene is not recommended for skin antisepsis before blood glucose testing.Instead, alcohol wipes or soap and water should be used. The finger should be fully dried before pricking to avoid dilution of the blood sample.
Correct Answer is A
Explanation
Choice A rationale
Sudden jaw pain can be a symptom of a heart attack. It’s important to seek immediate medical attention if this occurs.
Choice B rationale
While some people may experience hot, dry, and flushed skin during a heart attack, it’s not a common symptom and should not be relied upon as an indicator.
Choice C rationale
Waiting 30 minutes before taking action if experiencing heartburn is not advisable, especially if the individual has a history of heart disease. Heartburn can sometimes be a symptom of a heart attack.
Choice D rationale
Nitroglycerin is typically taken at the first sign of chest pain. If the pain does not improve or worsens after one dose, it’s important to seek immediate medical attention.
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