A 6-year-old child is being seen by the nurse for well-child checkup. The parent tells the nurse that they live on a farm and their water supply is from a well. Which should be the nurse's main concern?
1. Use of fluoride
2. How many teeth have been lost
3. Use of teeth whitener
4. Use of mouthwash
1
Rationale:
1. 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.
2. Asking about the number of teeth lost is not as important as finding out whether fluoride is in use.
3. 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.
4. Mouthwash use in a 6-year-old is not as important as asking about fluoride use.
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