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 B

Explanation

A. Monitoring urine output every two hours is not specifically required following the insertion of a permanent pacemaker. While urine output should be monitored as part of routine care, it is not directly related to the procedure.
B. Immobilizing the affected arm using a sling is a key intervention to prevent movement of the arm and ensure that the pacemaker leads are not displaced. This is important in the immediate postoperative period to reduce the risk of complications.
C. Teaching the client how to change the pacemaker dressing is typically not done immediately following insertion. The dressing is usually managed by the healthcare team in the early postoperative period until the site is sufficiently healed.
D. Arranging for ancillary personnel to feed the client is not a routine intervention following pacemaker insertion unless the client has specific limitations related to the procedure or recovery. The priority is to focus on the post-procedure care for the pacemaker.

A. monitoring for dysrhythmias. B. preventing thrombus formation. C. monitoring for bleeding D. adherence to the antihypertensive drugs

Correct Answer is D

Explanation

A. While monitoring for dysrhythmias is important for certain cardiovascular conditions, it is not the primary concern for an AAA. The management of blood pressure and preventing rupture are higher priorities.

B. While blood clots can be a concern in some cardiovascular conditions, thrombus formation is not a primary concern with AAA management unless other risk factors (such as venous stasis or atrial fibrillation) are present.

C. Monitoring for bleeding would be more relevant if the aneurysm were large or there were signs of rupture, but for a small AAA, the primary concern is managing blood pressure and preventing further enlargement. Bleeding monitoring is more critical in cases of rupture or larger aneurysms.

D. Antihypertensive medications are crucial for controlling blood pressure and preventing further stress on the aneurysm. Adherence to these medications is essential in managing the condition medically to reduce the risk of rupture or further enlargement of the aneurysm.

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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

The nurse is caring for a client immediately following the insertion of a permanent pacemaker. Which intervention should be included in the plan of care?

Correct Answer is B

Explanation

The nurse is caring for a client who has an abdominal aortic aneurysm. The physician explains to the client that the aneurysm is small and that the client will be managed medically. Based on this information. It is most important that the nurse reinforces discharge teaching about:

Correct Answer is D

Explanation

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