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?

Schedule routine oral care every 8 hours.

Moisten the mucosa with lemon glycerin swabs.

Administer oral viscous lidocaine.

Cleanse the gums with saline-soaked gauze.

Answer and Explanation

The Correct Answer is D

Cleanse the gums with saline-soaked gauze.

This can help keep the mouth moist and clean, which is important for preventing infection and promoting healing of oral ulcers caused by chemotherapy.

Choice A is wrong because routine oral care should be performed more frequently than every 8 hours.

Choice B is wrong because lemon glycerin swabs can dry out and irritate the mucosa.

Choice C is wrong because oral viscous lidocaine should not be used in children due to the risk of toxicity.

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Correct Answer is A

Explanation

Varicella (chickenpox) is highly contagious and can be spread through the air by coughing or sneezing.

Airborne precautions help prevent the spread of the disease to others.

Choice B is wrong because Koplik spots are a symptom of measles, not varicella.

Choice C is wrong because providing a warm blanket is not a specific intervention for a child with varicella.

Choice D is wrong because aspirin should not be given to children with varicella due to the risk of Reye’s syndrome.

A. Provide a pacifier coated with an oral sucrose solution prior to the injections. B. Use a 20-gauge needle for the injections. C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. D. Inject the immunizations into the deltoid muscle.

Correct Answer is A

Explanation

Oral sucrose solution has been shown to have analgesic effects and can help reduce pain and discomfort in infants during procedures such as immunizations.

Choice B is wrong because Use a 20-gauge needle for the injections is not an answer because a 20-gauge needle is larger than the recommended size for infant immunizations.

Choice C is wrong because Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections is not an answer because EMLA cream needs to be applied at least 1 hour before the procedure to be effective.

Choice D is wrong because Inject the immunizations into the deltoid muscle is not an answer because the deltoid muscle is not recommended for infants under 12 months of age.

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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

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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?