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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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

Step 1: Identify what is given
Prescribed dose: 6 mg
Available concentration: 4 mg/mL

Step 2: Use the formula
Volume (mL) = Prescribed Dose (mg) ÷ Concentration (mg/mL)
Volume = 6 ÷ 4 = 1.5 mL

Correct Answer is ["480"]

Explanation

Convert time to hours:
25 minutes ÷ 60 = 0.4167 hours

Step 2:
Use the formula:
Rate (mL/hr) = Volume (mL) ÷ Time (hr)

Rate = 200 mL ÷ 0.4167 hr ≈ 480 mL/hr

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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 client is to receive methylprednisolone 6 mg IV push. The medication is available as a vial with 4mg/mL. What volume should the nurse administer?

Correct Answer is ["1.5"]

Explanation

A client is ordered to receive a bolus of 200 mL of NSS in 25 minutes. At what rate should the nurse set the IV pump?

Correct Answer is ["480"]

Explanation

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