A patient is experiencing mucositis as a result of radiation therapy. Which interventions should the nurse include in the plan of care? (Select all that apply.)
a. Provide oral care once daily.
b. Discourage use of alcohol and tobacco.
c. Encourage citrus juice for vitamin C supplementation.
d. Advise the patient to avoid very cold foods and drinks.
e. Heat all liquids before drinking to promote oral blood flow.
f. Advise the patient to use a neutral mouthwash, such as diphenhydramine (Benadryl), and water.
ANS: B, D, F
B. D. F Mucositis is inflammation of the mucous membranes, especially of the mouth and throat. C. E. Smoking, alcohol, acidic foods or drinks, extremely hot or cold foods and drinks, and commercial mouthwash can irritate inflamed mucous membranes. The use of a neutral mouthwash is appropriate. A. Frequent mouth care is important to reduce the risk of infection.
You might also like to view...
A patient who has been pacing rapidly for the past hour cannot immediately be located on the unit. When he is found, he is in his closet, rocking back and forth rapidly and talking rapidly to himself
When staff approach, he only seems to notice them momentarily, then leaves his room and begins running up and down the hallway. Which of the following interventions should be attempted at this point? a. "I want you to breathe deeply as I do, in slowly, now hold it, now breathe out.". b. "I have some medicine that will calm you; would you like it by pill or in a shot?" c. In a calm but direct voice say: "Stop running. I will stay with you. Walk with me.". d. Gather a show of force and say: "You need to come with us now to seclusion.".
An adult child of an older adult confides in the nurse that the patient has lost most of her friends because of her negative behavior. What action by the nurse is best?
a. Ask when the patient had her last physical exam. b. Encourage the patient to be more positive. c. Ask if the patient is aware of the problem. d. Suggest the patient take antidepressants.
Your 17-year-old client has had above-average grades until this year. Your client did not make a sports team so started hanging out with a different crowd. Your client has been arrested several times for reckless driving and possession of marijuana
You refer your client for counseling. Which of the following nursing diagnoses would be most appropriate? 1. Ineffective health maintenance 2. Ineffective individual coping 3. Risk for infection 4. Delayed growth and development
A college sophomore, recently diagnosed with schizophrenia, has just left school in the middle of the second semester. The nurse providing family therapy is helping the family:
A) Maintain faith, respect, and trepidation. B) Prevent future episodes, maintain safety, and develop a rapport with other families. C) Provide hope, support, and happiness. D) Cope, improve communication, and establish boundaries.