A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy.
Which of the following actions should the nurse include in the plan of care?

Moisten the mucosa with lemon glycerin swabs.

Cleanse the gums with saline soaked gauze.

Administer oral viscous lidocaine.

Schedule routine oral care every 8 hr.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Moisten the mucosa with lemon glycerin swabs is not recommended because lemon glycerin swabs can be acidic and may irritate the oral ulcers further. It's important to avoid irritating substances in the oral cavity to promote healing.

Choice B rationale:

Cleaning the gums with saline-soaked gauze is a gentle and non-irritating method to maintain oral hygiene for a toddler with oral ulcers. Saline solution helps keep the oral cavity clean and reduces the risk of infection without causing further irritation.

Choice C rationale:

Administering oral viscous lidocaine is not recommended for routine use in managing oral ulcers in children. Lidocaine can be absorbed systemically and lead to toxicity, especially in young children. It should only be used under the guidance of a healthcare provider and in specific circumstances where the benefits outweigh the risks.

Choice D rationale:

Scheduling routine oral care every 8 hours is important, but the method of oral care is equally crucial. Using gentle methods like saline-soaked gauze to clean the gums ensures proper hygiene without causing discomfort to the child.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:

Bradycardia, or a slow heart rate, is a manifestation of digoxin toxicity. Digoxin, a medication commonly prescribed for heart conditions, can cause toxic effects when its levels become too high in the body. Bradycardia is a result of the drug's action on the heart's electrical conduction system and indicates toxicity.

Choice B rationale:

Diaphoresis, or excessive sweating, is not a specific manifestation of digoxin toxicity. While sweating can occur due to various reasons, it is not a characteristic sign of digoxin toxicity.

Choice C rationale:

Jaundice, or yellowing of the skin and eyes, is not a typical manifestation of digoxin toxicity. Jaundice is more commonly associated with liver or bile duct disorders.

Choice D rationale:

Polyuria, or excessive urination, is not a specific sign of digoxin toxicity. Digoxin toxicity primarily affects the heart and its electrical conduction system, leading to symptoms like bradycardia.

A. A preschool-age child who has a muffled voice and no spontaneous cough. B. A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL. C. A toddler who has nephrotic syndrome and facial edema. D. An adolescent who has Crohn's disease and a recent weight loss of 5 kg (11 lb)

Correct Answer is A

Explanation

Choice A rationale:

The preschool-age child with muffled voice and no spontaneous cough might be experiencing a medical emergency, possibly epiglottitis. This condition can rapidly progress and compromise the airway, necessitating immediate assessment and intervention.

Choice B rationale:

The school-age child with diabetes and a blood glucose of 200 mg/dL requires attention, but it is not an immediate concern unless the child is showing signs of diabetic ketoacidosis (DKA), such as altered mental status or deep, labored breathing, which are not mentioned in the question.

Choice C rationale:

The toddler with nephrotic syndrome and facial edema needs monitoring and intervention, but it doesn't indicate an immediate life-threatening condition compared to the child with potential airway compromise (muffled voice and no spontaneous cough)

Choice D rationale:

The adolescent with Crohn's disease and recent weight loss also needs attention, but it's not as urgent as the child with potential airway obstruction. Weight loss alone, while concerning, doesn't necessitate immediate assessment in this context.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy.Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin.Which of the following manifestations should the nurse include as an indication of digoxin toxicity?

Correct Answer is A

Explanation

A nurse in an urgent care clinic is prioritizing care for four children.Which of the following children should the nurse assess first?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis.Which of the following statements should the nurse include in the teaching?

A nurse is teaching the parent of a school-age child about bicycle safety.Which of the following instructions should the nurse include in the teaching?

A nurse is assessing an infant who has acute otitis media.Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.Which of the following findings should the nurse identify as an indication of hemorrhage?

Exhibits A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?

A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

A nurse is providing teaching about home care to the parent of a child who has scabies.Which of the following instructions should the nurse include in the teaching?

A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy.
Which of the following actions should the nurse include in the plan of care?