The nurse is caring for an unresponsive patient who has a nasogastric tube in place for continuous tube feedings. The nurse assesses the patient's oral hygiene because good oral hygiene
a. Helps prevent gingivitis.
b. May cause glossitis.
c. May lead to halitosis.
d. Causes tongue coating.
ANS: A
Early identification of poor oral hygiene practices and common oral problems reduces the risk for gum disease and dental caries. Patients frequently develop common oral problems as a result of inadequate oral care or as a consequence of disease (e.g., oral malignancy) or as a side effect of treatments such as radiation and chemotherapy. These problems include receding gum tissue, inflamed gums (gingivitis), a coated tongue, glossitis (inflamed tongue), discolored teeth (particularly along gum margins), dental caries, missing teeth, and halitosis (foul-smelling breath).
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The nursing assistant reports vital signs from a 43-year-old client to the nurse, who reports the abnormal measurements to the physician. The following measurements are normal for the 43-year-old client: Standard Text: Select all that apply
1. Temperature of 96.8°F oral 2. Pulse rate of 104 3. Temperature of 37°C oral 4. Blood pressure of 108/50 5. Respirations of 17/minute
The nurse who helps a patient with a disability rejoice in the acquisition of the smallest new skill is embracing which rehabilitation philosophy?
a. Resolving impairments b. Removing disabilities c. Increasing quality of life d. Eliminating complications
Restrained clients must be monitored and their condition documented at least every ____ minutes
1. 15 2. 30 3. 60 4. 90
A qualitative researcher identifies trends in the phenomenon being studied, yet several new cases received through a snowball sampling effort have divergent views of the phenomenon. These new cases are referred to as which of the following?
A) Confirming cases B) Disconfirming cases C) Purposive cases D) Typical cases