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    ATI RN Pediatric Nursing 2023 Proctored Exam

    A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child’s guardian asks about managing adverse effects.Which of the following statements should the nurse make?

    Explanation & Rationale

    The correct answer is D. “Use a soft-bristled toothbrush when platelet levels are low.”.Choice A rationaleRinsing the child’s mouth with chlorhexidine mouthwash if they develop stomatitis is not recommended. Chlorhexidine can be harsh and may cause further irritation in a child with stomatitis.Choice B rationaleEnsuring the administration of an antiemetic for 12 hours after chemotherapy is not sufficient. Antiemetics should be given before, during, and after chemotherapy to effectively manage nausea and vomiting.Choice C rationaleEncouraging eating by providing the child with their favorite foods is not always appropriate. Some foods may exacerbate nausea or be contraindicated during chemotherapy.Choice D rationaleUsing a soft-bristled toothbrush when platelet levels are low is correct. This helps prevent gum bleeding and injury, which is important for children with low platelet counts due to chemotherapy.

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