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NUR148 Exam 9 Chapters 48-55 With Complete Solution
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NUR148 Exam 9 Chapters 48-55 WithComplete Solution
Which food does the nurse teach a client undergoing chemotherapy with
secondary stomatitis to avoid?
A) Broiled fish
B) Ice cream
C) Salted pretzels
D) Scrambled eggs - ANSWER C) Salted pretzels
Salty foods like pretzels can further irritate ulcers in the client's mouth,
causing pain.Cool or cold foods and foods high in protein, such as fish, eggs,
and ice cream, may be included in the diet of the client with stomatitis.
While undergoing radiation treatment for oral cancer, a client develops
xerostomia. What collaborative resource does the nurse suggest for this
client's care?
A) Dentist
B) Occupational therapist
C) Speech therapist
D) Psychiatrist - ANSWER A)Dentist
Xerostomia is the subjective feeling of oral dryness. It is a long-term effect of
radiation therapy and requires ongoing oral care such as the use of saliva
substitutes and follow-up dental visits.
,A client who has undergone surgery and completed radiation therapy to treat
oral cancer reports persistent dry mouth. What will the nurse teach this client
about managing this symptom?
A) This condition is common but is temporary.
B) Use saliva substitutes, especially when eating dry foods.
C) This indicates a complication of therapy.
D) Use lozenges and hard candies to prevent dry mouth - ANSWER B) Use
saliva substitutes, especially when eating dry foods.
Xerostomia is a common effect of oral irradiation. Clients should be advised
to use saliva substitutes.
The condition is common, but often permanent. Dry mouth is a side effect of
therapy, not a symptom of complications. Taking frequent sips of water is
the preferred method of treating xerostomia during radiation therapy.
A client with oral cancer who is to have a radical neck dissection reports
being depressed. What is the nurse's priority response?
A) Suggest seeking support from a community group.
B) Listen to the client's concerns.
C) Explain the grieving process.
D) Reassure that it is normal to feel depressed about the diagnosis. -
ANSWER B) Listen to the client's concerns.
The nurse's priority response is to listen to the client and allow him or her to
process feelings.
,After the client has processed feelings, he or she is more open to learning
about the normalcy of feeling depressed about this diagnosis, understanding
the grieving process, and considering referral to a community group of
clients undergoing a similar experience.
A client has recently developed acute sialadenitis (salivary gland infection ).
Which intervention does the nurse include in this client's care?
A) Request a prescription for an opioid to manage pain.
B) Restrict fluids.
C) Apply cold compresses.
D) Massage the salivary gland - ANSWER D) Massage the salivary gland.
Sialadenitis is inflammation of a salivary gland. The salivary gland is
massaged to stimulate the flow of saliva. This is done by milking the
edematous gland with the fingertips toward the ductal opening.
To promote the flow of saliva, warm (not cold) compresses are applied to the
affected salivary gland. Pain from this condition is managed with NSAIDs,
not opioids. Hydration promotes salivary flow.
Which practice does the nurse include when teaching a client about proper
oral hygiene?
A) Perform self-examination of the mouth every week, and report any
unusual findings.
B) Brush the teeth daily and floss as needed.
C) Wear dentures that fit a bit loosely for movement when chewing.
D) Use mouthwash with alcohol unless lesions are present. - ANSWER A)
, Perform self-examination of the mouth every week, and report any unusual
findings.
The nurse will teach the client that proper oral care involves self-examination
of the mouth every week and to report any unusual findings to the Health
Care Provider.
Clients need to brush teeth and floss every day—not just as needed. Clients
are taught to avoid contact with agents that may cause inflammation of the
mouth (such as, alcohol-based mouthwashes). Dentures should fit snugly,
not loosely.
The nurse is providing instructions to a client with a history of stomatitis.
Which instructions does the nurse include in the teaching plan?
A) Encourage the client to eat acidic foods to decrease bacteria.
B) Mouth care should be performed twice daily at the maximum.
C) Rinse the mouth frequently with warm saline or sodium bicarbonate.
D) Use a medium-bristled toothbrush for oral care. - ANSWER C) Rinse the
mouth frequently with warm saline or sodium bicarbonate.
Rinsing the mouth frequently with warm saline or sodium bicarbonate or a
combination of the two decreases inflammation and pain.
Acidic foods increase inflammation and should be avoided. Mouth care
should be done after each meal and as often as needed, at the minimum of
twice daily. If stomatitis is not controlled, mouth care may have to be done
every 2 hours or more frequently. A soft toothbrush, not medium-bristled
one, needs to be used for oral care.
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