A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
Tell the client to expect dark stools following chemotherapy.
Have the client swish with commercial mouthwash before therapy.
Administer an antiemetic prior to the procedure.
Have the client floss 4 times daily.
The Correct Answer is C
Choice A reason: Tell the client to expect dark stools following chemotherapy
Dark stools are not a common side effect of chemotherapy. This symptom is more often associated with gastrointestinal bleeding or the use of certain medications, such as iron supplements or bismuth-containing compounds. Chemotherapy can cause a range of side effects, but dark stools are not typically one of them. Therefore, it is not necessary to inform the client to expect this symptom.
Choice B reason: Have the client swish with commercial mouthwash before therapy
While maintaining oral hygiene is important during chemotherapy, using a commercial mouthwash before therapy is not specifically recommended. Some commercial mouthwashes contain alcohol or other irritants that can exacerbate oral mucositis, a common side effect of chemotherapy. Instead, clients are often advised to use a gentle, alcohol-free mouthwash or a saline rinse to maintain oral hygiene and prevent infections.
Choice C reason: Administer an antiemetic prior to the procedure
Administering an antiemetic prior to chemotherapy is a standard practice to prevent nausea and vomiting, which are common side effects of many chemotherapeutic agents. Antiemetics help to improve the client’s comfort and adherence to the treatment regimen by reducing these distressing symptoms. This proactive approach is crucial in managing the side effects of chemotherapy and ensuring that the client can tolerate the treatment.
Choice D reason: Have the client floss 4 times daily
Flossing is an important part of oral hygiene, but flossing 4 times daily is excessive and can cause irritation or damage to the gums, especially in clients undergoing chemotherapy who may have a higher risk of oral mucositis and bleeding. It is generally recommended to floss once daily and to use a soft-bristled toothbrush to maintain oral health without causing additional trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
Step 1: Identify the infusion rate in mL/hr.
- The infusion rate is 100 mL/hr.
- = 100 mL/hr.
Step 2: Determine the drop factor for microtubing.
- Microtubing has a drop factor of 60 gtt/mL.
- = 60 gtt/mL.
Step 3: Calculate the drip rate in gtt/min.
- Drip rate (gtt/min) = (Infusion rate in mL/hr) × (Drop factor in gtt/mL) ÷ 60.
- Drip rate (gtt/min) = 100 mL/hr × 60 gtt/mL ÷ 60.
- = 100 gtt/min.
So, the nurse should set the manual IV infusion to deliver 100 gtt/min.
Correct Answer is ["2"]
Explanation
Step 1: Determine the dosage required. Required dosage = 150 mg
Step 2: Determine the dosage available per tablet. Available dosage per tablet = 75 mg
Step 3: Calculate the number of tablets needed. Number of tablets needed = Required dosage ÷ Available dosage per tablet Number of tablets needed = 150 mg ÷ 75 mg
Step 4: Perform the division. 150 ÷ 75 = 2
The nurse should administer 2 tablets per dose.
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