The nurse is teaching a patient with stomatitis about mouth care. What should the nurse include in this teaching? Select all that apply.
A. Avoid cold beverages.
B. Consume 8 oz of yogurt or buttermilk daily.
C. Avoid tobacco and alcohol.
D. Use lemon-glycerin swabs between meals.
E. Use a saline or sodium bicarbonate rinse after every meal.
Answer: E
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Evaluate the following assessment data and select the datum that is suggestive of undernutrition
A) body mass index (BMI) of 20. B) serum albumin slightly below normal, prealbumin and transferrin within normal limits. C) unintentional 3 pound weight loss over a month in a elderly woman weighing 120 pounds. D) denial of taking a multiple vitamin supplement.
The student nurse attempts to take the vital sign of the newborn, but the newborn is crying. What nursing intervention would be appropriate?
1. Placing a gloved finger in the newborn's mouth 2. Taking the vital signs 3. Waiting until the newborn stops crying 4. Swaddling the newborn with several warm blankets in an attempt to calm
Respirations are greater than 20 per minute. This is:
a. Apnea b. Bradypnea c. Dyspnea d. Tachypnea
After the nurse implements a teaching plan for a newly diagnosed patient with hypertension, the patient can explain the information but fails to take the medications as prescribed. What is the nurse's next action?
a. Reeducate the patient, because learning did not occur because the patient's behavior did not change. b. Assess the patient's perception and attitude towards the risks associated with not taking their anti-hypertensives. c. Take full responsibility for helping the patient make dietary changes. d. Ask the provider to prescribe a different medication, because the patient does not want to take this medication.