Author Question: A child is receiving chemotherapy. The nurse assesses the child's oral cavity and notes the ... (Read 45 times)

ashley · **on:** Jun 28, 2018

A child is receiving chemotherapy. The nurse assesses the child's oral cavity and notes the following: raspy voice, thick saliva, and debris on the teeth. Which action by the nurse is the most appropriate?

A.
Have the child use commercial mouthwash.
B.
Hold the next dose of chemotherapy.
C.
Increase the frequency of oral care.
D.
Place the child on NPO status.

Question 2

A child has the following laboratory values: WBC, 7.2 mm3; bands, 4; and neutrophils, 60. Based on these values, which action by the nurse is the most appropriate?

A.
Continue monitoring the child for infection.
B.
Place the child on protective isolation.
C.
Obtain two sets of blood cultures.
D.
Restrict visitors to the child.

InfiniteSteez · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Mucositis is a diffuse inflammation of the mouth and oral mucous membranes, and is common during chemotherapy. The nurse should increase the frequency of oral care in the child who is manifesting signs of this problem. Commercial mouthwash contains alcohol, which would burn the tissues. The chemotherapy would not be interrupted. The child should be encouraged to eat and drink as tolerated.

Answer to Question 2

ANS: A
This child's absolute neutrophil count is 4,608; therefore, the child is not neutropenic. The nurse should continue to monitor. The other actions are not necessary.