Author Question: A patient undergoing chemotherapy for the treatment of lung cancer has developed stomatitis. Oral ... (Read 93 times)

beccaep · **on:** Jul 23, 2018

A patient undergoing chemotherapy for the treatment of lung cancer has developed stomatitis. Oral lidocaine viscous has consequently prescribed by the primary caregiver.

To minimize the patient's chance of aspiration, the nurse should encourage the patient to A) take small bites of food and small sips of fluid after administration.
B) adopt a minced and pureed diet for the duration of treatment.
C) remain in a high Fowler's position for 90 minutes following the use of lidocaine viscous.
D) avoid eating or drinking for 1 hour following the use of lidocaine viscous.

Question 2

A patient has been treated with dextroamphetamine for ADHD. At the age of 16 years, she is diagnosed with hyperthyroidism. What intervention should be implemented with this patient?

A) Discontinue the high-calorie diet.
B) Assess the patient for pulmonary edema.
C) Discontinue the amphetamines.
D) Administer a proton pump inhibitor.

peter · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Patients should not drink fluids or eat after gargling with viscous lidocaine for at least 60 minutes due to risk of aspiration. Upright positioning will not mitigate this risk. A textured diet is unnecessary.

Answer to Question 2

C
Feedback:
Amphetamines are contraindicated upon the development of hyperthyroidism. The patient will require a higher calorie count, not a discontinuation of a high-calorie count. The patient will not require an assessment for pulmonary edema. The patient will only require a proton pump inhibitor if gastric hyperacidity occurs.