A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?
I need to drink room temperature beverages.
I can take a prescribed analgesic to help manage the pain.
I need to be careful not to spread this to my family.
The chemotherapy affected my immune system.
The Correct Answer is C
Choice A rationale
Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.
Choice B rationale
Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.
Choice C rationale
Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.
Choice D rationale
Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.
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Correct Answer is D
Explanation
Choice A rationale
Itching is a common symptom after cataract surgery, and the client should be reminded not to rub or place pressure on the eyes. This comment does not indicate a serious complication.
Choice B rationale
Sensitivity to bright light is also common after cataract surgery. The client can be advised to wear sunglasses to reduce discomfort. This comment does not indicate a serious complication.
Choice C rationale
Fear of falling is a valid concern, especially if the client has impaired vision or depth perception due to the eye patch. However, this comment does not indicate a serious complication that needs immediate reporting.
Choice D rationale
Severe pain in the eye after cataract surgery can indicate a complication such as increased intraocular pressure, infection, or hemorrhage. This comment should be reported to the provider immediately for further evaluation and intervention.
Correct Answer is B
Explanation
Choice A rationale
Timolol is a beta-blocker used to reduce intraocular pressure in patients with open-angle glaucoma. It is not intended for short-term use or gradual tapering off. The medication must be used consistently to maintain its therapeutic effect.
Choice B rationale
Timolol should be applied on a regular schedule for the rest of the client’s life to effectively manage intraocular pressure and prevent further damage to the optic nerve.
Choice C rationale
Timolol does not cure glaucoma or normalize intraocular pressure permanently. Continuous use is necessary to control the condition.
Choice D rationale
Timolol is not used as a pain reliever. It is specifically prescribed to manage intraocular pressure in glaucoma patients.