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 ever hr.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Moisten the mucosa with lemon glycerin swabs. Lemon glycerin swabs might be too acidic and can cause irritation or discomfort in oral ulcers. Using them could exacerbate the toddler's condition.

Choice B Reason:

Cleanse the gums with saline-soaked gauze. This action can help maintain oral hygiene and reduce the risk of infection in the oral ulcers. Saline is gentle and can help keep the affected area clean without causing further irritation.

Choice C Reason:

Administer oral viscous lidocaine. Lidocaine is a local anesthetic that may be used in some cases for pain relief, but its use in oral ulcers for toddlers might not be recommended due to potential risks and concerns about ingestion, especially in young children.

Choice D Reason:

Schedule routine oral care every hour. While oral care is essential, performing it too frequently (every hour) might cause more discomfort and irritation to the already sensitive oral ulcers. Gentle, regular care is important, but excessive cleaning can be detrimental.

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Correct Answer is D

Explanation

Choice A Reason:

Moving the baby's stuffed animal to the corner of the crib might not address the risk factors for SIDS, and loose bedding or soft objects in the sleep environment can increase the risk.

Choice B Reason:

Having the baby sleep next to the parent in bed might increase the risk of accidental suffocation or entrapment, which are factors associated with an increased risk of SIDS.

Choice C Reason:

Placing the baby on their side to sleep for naps is not recommended because the safest sleep position for infants is on their back. Side sleeping can also increase the risk of the baby rolling onto their stomach, which is a higher risk position for SIDS.

Choice D Reason:

"I will dress my baby in lightweight clothing to sleep." Is correct. Sudden Infant Death Syndrome (SIDS) risk reduction strategies include dressing infants in lightweight clothing to prevent overheating, which is considered a risk factor for SIDS. Ensuring the baby is not excessively bundled up or overheated during sleep can help reduce the risk.

A. Allergy to neomycin B. Temperature of 37.2° C (99° F) C. Family history of seizures D. Upper respiratory infection 2 days ago

Correct Answer is A

Explanation

Choice A Reason:

Allergy to neomycin is correct. Neomycin is an antibiotic, and individuals with a known severe allergic reaction to neomycin should avoid vaccines that contain this component. The MMR vaccine, along with some other vaccines, may contain trace amounts of neomycin, and individuals with a severe allergy to neomycin might be at risk for an allergic reaction if they receive a vaccine containing this substance.

Choice BReason:

Temperature of 37.2° C (99° F) is incorrect. A low-grade fever (slight elevation in temperature) is not a contraindication for the MMR vaccine unless the fever is part of a more severe illness or if the child has a high fever or is significantly unwell.

Choice CReason:

Family history of seizures is incorrect. A family history of seizures generally does not contraindicate the MMR vaccine. However, certain specific medical conditions or individual situations related to seizures might be considered by the healthcare provider.

Choice D Reason:

Upper respiratory infection 2 days ago is incorrect. Having had a mild upper respiratory infection in the recent past, especially if the child has recovered and is feeling well without any fever, is generally not a contraindication for the MMR vaccine. However, if the child is currently acutely ill or has a fever, the vaccine might be postponed until they are feeling better.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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