The nurse is assessing the oral cavity of a client and notes a blackish, furry-looking coating on the tongue. Which question to the client is most appropriate based on this initial data?
1. "Have you eaten licorice lately?"
2. "How often do you brush your tongue?"
3. "Have you recently taken antibiotics?"
4. "Have you ever had this happen before?"
Correct Answer: 3
The presence of a black, furry-looking coating on the tongue is usually related to an overgrowth of fungus due to inhibition of normal bacteria due to antibiotic use. This finding is not related to poor oral hygiene practices. It is unrelated to food intake such as eating licorice. It may helpful for the nurse to determine if the condition has occurred previously but it is not the most important question. The nurse should question the client regarding recent antibiotic use.
You might also like to view...
An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school, and I no longer want to go to college
I know I will be lonely there, too." Which takes priority when speaking with the adolescent? 1. Stressing the importance of remaining in a close parent-child relationship during these stressful times 2. Promoting healthy mental health outcomes 3. Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors 4. Helping the adolescent realize the value of postsecondary education
The nurse develops a teaching plan for a 77-year-old patient who has been prescribed loperamide PRN. The nurse's priority teaching point is what?
A) May cause hallucinations or respiratory depression B) Take drug after each loose stool C) Drug remains in the bowel without being absorbed into the bloodstream D) Avoid pregnancy and breast-feeding while taking drug.
A teenager describes herself as "tall, attractive, female, student, intelligent." What part of her self-concept is she describing?
A) self-expectations B) self-esteem C) self-knowledge D) self-evaluation
The nurse is providing preoperative teaching for a client who is scheduled for heart transplantation. Which of the following are important nursing considerations before surgery? Select all answers that apply
A) Teaching deep breathing exercises B) Providing plans for cardiac rehabilitation C) Assessing client's nutrition and capacity for healing D) Providing adequate tissue oxygenation E) Monitoring and maintaining cardiac function F) Scheduling routine tests and procedures