This is a comprehensive and detailed practice material that contains questions and answers on; Stomatitis for Nurs 245.
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For a client with stomatitis (inflammation of the oral cavity) resulting from chemotherapy for
leukemia, the care plan should include which intervention
A. inspect the mouth every week for fungus
b. encourage foods with neutral or cool temperatures
c. give the client spicy foods to stimulate the sense of taste
d. perform frequent oral hygiene a commercial alcohol-based mouthwash
Which of the following interventions is most appropriate for a client with stomatitis
a. Drinking hot tea at frequent intervals
b. Gargling with antiseptic wash
c. Electric toothbrush
d. Eating a soft bland diet
A 35 years old client has been receiving chemotherapy to treat cancer. Which assessment
finding suggests that the client has developed stomatitis (inflammation of the mouth)?
a. White, cottage cheese-like patches on the tongue
b. Yellow tooth discoloration
c. Red, open sores on the oral mucosa
d. Rust-colored sputum
During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous
membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic
effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of
stomatitis?
a. Recommending that the client discontinue chemotherapy
b. Providing a solution of hydrogen peroxide and water for use as a mouth rinse
c. Monitoring the client's platelet and leukocyte counts
d. Checking regularly for signs and symptoms of stomatitis
A student nurse is providing care to an older client with stomatitis and dysphagia. What
action by the student nurse requires the registered nurse to intervene?
a. Assisting the client to perform oral care every 2 hours
b. Preparing to administer a viscous lidocaine gargle
c. Reminding the client not to swallow nystatin (Mycostatin)
d. Teaching the client to use a soft-bristled toothbrush
The nurse is administering a nystatin suspension for stomatitis. Which instruction will the
nurse provide to the client when administering this medication?
A "Hold the medication in your mouth for a few minutes before swallowing it."
B "Do not drink or eat milk products for 1 hour prior to taking this medication."
C "Dilute the medication with juice to reduce the unpleasant taste and odor."
D "Take the medication before meals to promote increased absorption."
,Which of the following instructions should the nurse include in the teaching plan for a client
who is experiencing gastroesophageal reflux disease (GERD)?
1. Limit caffeine intake to two cups of coffee per day
2. Do not lie down for 2 hours after eating
3. Follow a low-protein diet
4. Take medications with milk to decrease irritation
A client who has been diagnosed with GERD has heartburn. To decrease the heartburn, the
nurse should instruct the client to eliminate which of the following items from the diet?
1. Lean beef
2. Air-popped popcorn
3. Hot chocolate
4. Raw vegetables
The client with GERD has a chronic cough. This symptom may be indicative of which of the
following?
1. Development of laryngeal cancer
2. Irritation of the esophagus
3. Esophageal scar tissue formation
4. Aspiration of gastric contents
Bethanechol (Urecholine) has been prescribed for a client with GERD. The nurse should assess
the client for which of the following adverse effects?
The client attends two sessions with the dietitian to learn about diet modifications to
minimize GERD. The teaching would be considered successful if the client decreases the
intake of which of the following foods?
1. Fats-rationale=Fats are associated with decreased esophageal sphincter tone.
2. High-sodium foods
3. Carbohydrates
4. High calcium foods
, A client has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump
inhibitor. About what medication should the nurse anticipate teaching the client?
a. Famotidine (Pepcid)
b. Magnesium hydroxide (Maalox)
c. Omeprazole (Prilosec)
d. Ranitidine (Zantac)
The nurse is aware that which factors are related to the development of gastroesophageal
reflux disease (GERD)? (Select all that apply.)
a. Delayed gastric emptying
b. Eating large meals
c. Hiatal hernia
d. Obesity
e. Viral infections
The nurse has taught a client about lifestyle modifications for gastroesophageal reflux disease
(GERD). What statements by the client indicate good understanding of the teaching? (Select
all that apply.)
a. I just joined a gym, so I hope that helps me lose weight.
b. I sure hate to give up my coffee, but I guess I have to.
c. I will eat three small meals and three small snacks a day.
d. Sitting upright and not lying down after meals will help.
e. Smoking a pipe is not a problem and I don’t have to stop.
A nurse is teaching clients with gastroesophageal reflux disease (GERD) about foods to avoid.
Which foods should the nurse include in the teaching? (Select all that apply.)
a. Chocolate
b. Decaffeinated coffee
c. Citrus fruits
d. Peppermint
e. Tomato sauce
The nurse explains to the patient with gastroesophageal reflux disease that this disorder:
A. results in acid erosion and ulceration of the esophagus caused by frequent vomiting,
B. will require surgical wrapping or repair of the pyloric sphincter to control the symptoms,
C. is the protrusion of a portion of the stomach into to esophagus through an opening in the
diaphragm,
D. often involves relaxation of the lower esophageal sphincter, allowing stomach contents to
back up into the esophagus
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