A nurse is reinforcing teaching with a client who has stomatitis. Which of the following instructions should the nurse include in the teaching?
CONTINUE Eat foods high in vitamin B12-
Consume soft, bland foods.
Use lemon glycerin swabs.
Rinse the mouth with an alcohol-based mouthwash.
The Correct Answer is B
Choice A Reason:
Continuing to eat foods high in vitamin B12 is generally a good dietary choice, but it should be done in a way that minimizes irritation to the inflamed oral tissues. The client should choose foods that are soft and gentle on the mouth.
Choice B Reason:
Consume soft, bland foods is correct. When providing instructions to a client with stomatitis (inflammation of the mouth), it's important to recommend a diet that is gentle on the irritated oral tissues. Consuming soft, bland foods can help minimize further irritation and discomfort. Examples of suitable foods may include mashed potatoes, yogurt, oatmeal, applesauce, and other similar items that are easy to chew and swallow.
Choice C Reason:
Using lemon glycerin swabs is not recommended for clients with stomatitis. Lemon can be acidic and may further irritate the mouth. Glycerin swabs alone may be used for oral care, but the lemon component should be avoided.
Choice D Reason:
Rinsing the mouth with an alcohol-based mouthwash is not advisable for clients with stomatitis. Alcohol-based mouthwashes can be harsh and may exacerbate the irritation and pain associated with stomatitis. Clients should be encouraged to use non-alcoholic, mild oral rinses or saline rinses as recommended by their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Hypoglycemia (low blood sugar) is not a common adverse effect of atorvastatin.
Choice B Reason:
Daytime drowsiness is not a typical side effect of statin medications and is more commonly associated with other types of medications, such as sedatives or sleep aids.
Choice C Reason:
Muscle pain is correct. The nurse should instruct the client to monitor and report muscle pain (myalgia) to the healthcare provider when taking atorvastatin. Myalgia is a potential adverse effect of statin medications, and in rare cases, it can progress to a more serious condition called rhabdomyolysis, which involves muscle breakdown and can lead to kidney damage. Therefore, any new or unexplained muscle pain, tenderness, or weakness should be reported promptly to the healthcare provider for evaluation.
Choice D Reason:
Palpitations (rapid or irregular heartbeats) are not commonly associated with atorvastatin use. If a client experiences palpitations, it may be related to other factors or conditions and should be evaluated separately.
Correct Answer is C
Explanation
Choice A Reason:
Inserting the probe with a straight, forward motion is not correct because the ear canal is curved, and this technique could lead to inaccurate readings or discomfort.
Choice B Reason:
The AP positions the client facing her. The position of the client's face is not relevant to taking a tympanic temperature. The client can face any direction during the procedure.
Choice C Reason:
Pulling the pinna up and back straightens the ear canal in adults, allowing for a more accurate reading when taking a tympanic temperature.
Choice D Reason:
Pointing the probe posteriorly is incorrect as the probe should be pointed towards the tympanic membrane, which usually requires slight angling to align with the ear canal.
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