A client receiving chemotherapy is experiencing stomatitis. The nurse advises the client to use:
1. A commercial mouthwash
2. An alcohol and water mixture
3. Normal saline rinses
4. A firm toothbrush
ANS: 3
Normal saline rinses (approximately 30 mL) on awaking in the morning, after each meal, and at bedtime can effectively clean the oral cavity. The rinses can be increased to every 2 hours if nec-essary. Clients with stomatitis should be advised to avoid commercial mouthwash. Clients with stomatitis should be advised to avoid alcohol. Gentle brushing and flossing are important in pre-venting bleeding of the gums. A soft toothbrush, not a firm toothbrush, should be used.
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In the discharge teaching plan for a client with breast augmentation, the nurse would explain that the client should
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The nurse is caring for a client who needs suctioning for thick, tenacious secretions in the upper airway. Which nursing diagnosis should the nurse use for this client on the basis of the assess-ment data?
1. At risk for aspiration 2. Gas exchange, impaired 3. Total fluid volume deficit 4. Airway clearance, ineffective
The towel bath procedure should not be used for patients with dementia.
Answer the following statement true (T) or false (F)