Nokea
What would the nurse include in a teaching plan about mouth care of a child receiving chemotherapy?
- A. Use commercial mouthwash.
- B. Clean teeth with a soft toothbrush.
- C. Avoid use of a Water-Pik.
- D. Inspect the mouth weekly for ulcerations.
Correct Answer: B
Rationale: A soft toothbrush reduces capillary damage and mucous membrane breakdown and prevents bleeding and infection.
You may also like to solve these questions
A 6-year-old child with leukemia asks, 'Who will take care of me in heaven?' What is the best response by the nurse?
- A. Who do you think will take care of you?'
- B. Your grandparents and God will take care of you.'
- C. Your mom will know more about that than I do.'
- D. Why are you asking me that?'
Correct Answer: A
Rationale: This response gives the child an opportunity to verbalize his or her feelings and concerns, whereas closed responses shut off communication.
A child with thalassemia major receives blood transfusions frequently. What is a complication of repeated blood transfusions?
- A. Hemarthrosis
- B. Hematuria
- C. Hemoptysis
- D. Hemosiderosis
Correct Answer: D
Rationale: As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis) are stored in tissues.
A child is diagnosed with iron deficiency anemia. What will the nurse explain can occur if this disorder goes untreated?
- A. Hemorrhage
- B. Heart failure
- C. Infection
- D. Pulmonary embolism
Correct Answer: B
Rationale: Untreated iron deficiency anemias progress slowly, and in severe cases the heart muscle becomes too weak to function.
A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow?
- A. Decreased T-cell production
- B. Decreased hemoglobin
- C. Increased blood clotting
- D. Increased susceptibility to infection
Correct Answer: D
Rationale: An overproduction of immature white blood cells increases the child's susceptibility to infection.
A 2-year-old child has been diagnosed with hemophilia A. What information should the nurse include in a teaching plan about home care?
- A. If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.
- B. Children's aspirin in lowered doses may be given for joint discomfort.
- C. A firm, dry toothbrush should be used to clean teeth at least twice a day.
- D. Do not permit interactive play with other children.
Correct Answer: A
Rationale: When bleeding occurs, the traditional approach is to follow RICE - rest, ice, compression, and elevation.