A 6-year-old child is being seen by the nurse for a well-child checkup. The parent tells the nurse that they live on a farm and their water supply is from a well. Which of the following does the nurse plan to teach the family?
1. Use of fluoride
2. Effect of sugary foods
3. Use of teeth whitener
4. Use of mouthwash
1. Use of fluoride
Rationale:
Many changes occur in the mouth during school-age years, necessitating periodic examination. Inquire about use of fluoride if the water supply is not fluoridated. Well water does not contain fluoride. While the nurse may teach about the effect of sugary foods on teeth, the priority would be to teach about fluoride, since this family's water supply does not provide it. Teeth whitener is not mentioned in the scenario, and while the nurse would be concerned if a 6-year-old was using it, fluoride use is more important. Mouthwash use in a 6-year-old is not as important as asking about fluoride use.
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