The nurse is conducting a health history interview with a patient who has severe respiratory disease. The nurse asks specific questions about how the patient performs oral hygiene. What is the rationale for this questioning?
1. Oral infections can result in pulmonary infections.
2. The ability to perform good oral hygiene reflects an ability to hold one's breath for several seconds.
3. Respiratory illness is associated with an increased risk for dental caries.
4. People who perform good oral hygiene typically also perform good hand hygiene.
1
Rationale 1: This patient is at risk for pulmonary infection. Oral infections can travel down the pulmonary tree and cause pulmonary access formation.
Rationale 2: This may be accurate, but it is not the rationale for this questioning.
Rationale 3: There is no indication that respiratory illness causes tooth decay.
Rationale 4: There is no association between these two hygiene practices that would serve as a rationale for these questions.
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