An older client tells the nurse that tooth brushing is seldom done. What should the nurse assess as reasons why the client has stopped performing oral hygiene? Select all that apply.
1. Vision changes
2. Malocclusion of teeth
3. Decrease in taste acuity
4. Lack of dental insurance
5. Loss of manual dexterity
1. Vision changes
5. Loss of manual dexterity
Explanation: 1. Among the reasons why older clients stop participating in oral hygiene practices, such as brushing the teeth, may be poor vision.
2. Malocclusion of teeth would decrease the client's ability to chew.
3. A decrease in the sense of taste may add to a lack of appetite.
4. A lack of dental insurance may be a factor as to why a client does not see a dentist for checkups but would not be a reason for omitting oral hygiene altogether.
5. Among the reasons why older clients stop participating in oral hygiene practices, such as brushing the teeth, may include the inability to physically perform the action caused by loss in manual dexterity.
You might also like to view...
An older patient with renal disease and advanced cancer pain asks for stronger pain medication. What does the nurse need to take into consideration when determining which prescribed pain medication to provide to this patient?
1. Methadone is a viable option for this patient. 2. Meperidine is the most versatile opioid available. 3. Oral morphine may be a starting point to be considered for this patient. 4. Fentanyl is often the first opioid tried because of the low incidence of side effects.
A patient whose spouse has died recently reports feeling down most of each day for the past 2 months
On further questioning, the nurse learns that the patient has quit participating in church and social activities, has difficulty falling asleep, and has lost 5 pounds. The patient reports feel-ing tired and confused all the time but does not have suicidal thoughts. What does the nurse sus-pect? a. Grief and sadness b. Hypomania c. Major depression d. Situational depression
Which of the following is an accurate statement about the research use process?
a. If nurses decide not to implement findings of a study or set of studies, they are resistant to change. b. Making a decision to delay use of research findings in practice indicates the process was not carried out properly. c. Support for change will be stronger when this type of process is used to introduce new ideas and treatments. d. This process is only appropriate for experienced researchers and not staff nurses.
What factor in the client's history is a risk factor for the development of an acquired umbilical hernia?
A. The client has a history of diabetes mellitus. B. The client is 50 pounds above ideal body weight. C. The client had an appendectomy 15 years ago. D. The client is taking anti-inflammatory agents for arthritis pain.