The nurse is caring for a patient who has recently been diagnosed with cancer and is currently receiving their first dose of chemotherapy. Which oral hygiene practice should be avoided?

using waxed dental floss

using an alcohol based mouthwash

soaking dentures in hydrogen peroxide

using a soft or bristled toothbrush

Answer and Explanation

The Correct Answer is B

A. Waxed dental floss is generally safe for most patients, including those receiving chemotherapy. It is important to be gentle when flossing to avoid injuring sensitive gums, which may be more prone to bleeding during chemotherapy due to reduced platelet count.

B. Alcohol-based mouthwashes should be avoided during chemotherapy because they can cause dryness and irritation to the mucous membranes in the mouth, which are already sensitive due to the side effects of chemotherapy. Alcohol can exacerbate mucositis (inflammation of the mucous lining) and increase discomfort.

C. Soaking dentures in hydrogen peroxide is generally safe for denture care, as hydrogen peroxide can be used to disinfect dentures. However, it is important to ensure that dentures are thoroughly rinsed after soaking to avoid irritation to the mouth.

D. Using a soft-bristled toothbrush is safe and recommended. A soft-bristled toothbrush is ideal for patients receiving chemotherapy, as their gums and mouth may become more sensitive. Brushing gently can help maintain oral hygiene without causing injury.

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Correct Answer is D

Explanation

A. Checking the skin monthly for changes is a recommended practice for detecting early signs of skin cancer, such as new moles or changes to existing ones.
B. Avoiding the use of tanning booths is important because artificial tanning increases the risk of skin cancer, particularly melanoma.
C. Using sunscreen even on cloudy days is advised, as UV rays can penetrate clouds and still harm the skin.
D. A high-fiber diet, while beneficial for overall health, does not specifically reduce the risk of developing skin cancer. Risk reduction for skin cancer is more related to sun protection and avoiding UV radiation exposure.

A. 24-year-old who uses a tanning booth on a weekly basis B. 40-year-old who complains of freckles all over her body C. 50-year-old who goes to the beach at 8 AM daily for a swim D. 25 year old who uses a tanning spray in the summer

Correct Answer is A

Explanation

A. Tanning beds significantly increase the risk of developing skin cancer, particularly melanoma. The UV radiation from tanning beds is a known carcinogen, and frequent use can damage the skin's DNA, leading to an increased risk of skin cancer. This individual is at high risk and should definitely follow up for skin cancer screenings.
B. While freckles can be a sign of sun exposure, they are not necessarily indicative of a higher risk of skin cancer. However, it is important for this individual to monitor for any changes in freckles (such as size, shape, or color) and to perform regular self-exams.
C. While sun exposure should be minimized, the risk of skin cancer is lower at 8 AM when UV rays are less intense. That said, the individual should still take precautions like wearing sunscreen and protective clothing, but their risk is not as elevated as that of someone using tanning beds.
D. Tanning sprays do not expose the skin to harmful UV radiation, so they do not increase the risk of skin cancer. However, it's important to note that this individual should still be mindful of overall skin health.

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The nurse is caring for a patient who has recently been diagnosed with cancer and is currently receiving their first dose of chemotherapy. Which oral hygiene practice should be avoided?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

Correct Answer is D

Explanation

The nurse is assessing a client for the risk of developing skin cancer. It would be a priority for the nurse to suggest follow up for which client?

Correct Answer is A

Explanation

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