Which Intervention Should the Nurse Integrate into the Plan of Care

question 29

Multiple Choice

Which intervention should the nurse integrate into the plan of care for a client receiving cyclophosphamide (Cytoxan) experiencing oral irritation?

• A) Instruct the client to avoid extreme temperatures of food selections.
• B) Instruct the client to use an antiseptic mouthwash.
• C) Instruct the client to rinse her mouth with normal saline.
• D) Instruct the client to drink cold beverages.

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Definitions:

Early Childhood

A developmental period from birth to eight years of age, characterized by rapid physical, cognitive, and emotional growth.

Vestibular System

The sensory system that contributes to balance and spatial orientation, located in the inner ear.

Head Position

The orientation or angle of the head in relation to the body, which can influence perception, balance, and communication.

Source Of Sound

The point or object from which sound waves originate, which can be anything that vibrates to create audio frequencies.