A patient receiving chemotherapy for chronic myelocytic leukemia has irritated mucous membranes. Which mouth care intervention should the nurse include in the plan of care?
a. Brush teeth twice a day with a firm toothbrush.
b. Use waxed floss between meals and at bedtime.
c. Use sponge Toothettes to clean teeth after meals.
d. Swab teeth and mucous membranes four times daily with lemon-glycerin swabs.
ANS: C
Toothettes are soft and will not further irritate the mucous membranes. A. B. A firm toothbrush or flossing can cause bleeding. D. Lemon-glycerin swabs are drying.
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When comparing the histamine-2 antagonists to each other the nurse recognizes that cimetidine (Tagamet) is more likely to cause which adverse effect?
A) Dizziness B) Headache C) Gynecomastia D) Somnolence
After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. What would the nurse identify as associated with this finding?
A) Aortic stenosis B) Patent ductus arteriosus C) Aortic insufficiency D) Complete heart block
The nurse is reviewing a client's understanding of dietary choices that will help reduce high triglyceride and cholesterol levels. Which statement by the client indicates an understanding of the best options to be included in the diet?
A) "I plan to use more sunflower oil in my diet selections." B) "Coconut oil has shown to be a good choice for people hoping to reduce cholesterol levels." C) "I am using palm oil in most of my cooking right now." D) "Palm kernel oil is a smart because it is one of the oils lowest in triglyceride and cholesterol."
The following would be the drug(s) of choice in severe acute pain secondary to surgery:
A. Morphine plus a nonsteroidal antiinflammatory drug (NSAID) B. Morphine alone C. Meperidine alone D. Meperidine plus promethazine E. Pentazocine plus a NSAID