A client with chronic kidney disease states that he will be going to the dentist for a planned tooth extraction. Which is the nurse's best response?

a. "Rinse your mouth with an antiseptic so-lution after the procedure."
b. "Kidney disease is probably what caused your dental decay."
c. "You should receive prophylactic antibio-tics before any dental procedure."
d. "You may take any medication for pain that the dentist prescribes."


C
To prevent sepsis from oral cavity bacteria, the client should be given prophylactic antibiotics before any dental procedure. Rinsing the mouth with antiseptic solution would not be sufficient to prevent infection. Kidney disease may have contributed to the dental decay through loss of calcium from the teeth, but this cannot be confirmed. Clients with kidney disease should not take antibiotics known to be nephrotoxic. Dosage adjustments based on the client's kidney function may be needed.

Nursing

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