Which actions will the nurse include when performing a complete oral exam on an older cooperative patient?

1. Inform the patient that halitosis is considered normal.
2. Do not wear gloves while examining the tongue including the posterior surface.
3. Palpate the head and neck lymph nodes and assesses for tenderness and enlargement.
4. Tell the patient that white patches on the surface of the oral mucosa is expected with aging.


3
Rationale: Halitosis is not a normal finding and may be associated with xerostomia or infection of the teeth or gums.

Nursing

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A nurse is providing patient education to a female patient who is taking fludrocortisone. The nurse will instruct the patient to monitor which of the following at home?

A) Weight gain B) Thyroid hormone levels C) Heart rate D) Core body temperature

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A local public health nurse is informed that a cook in a local restaurant has been diagnosed with hepatitis A

What should the nurse advise individuals who ate at this restaurant and have never received the hepatitis A vaccine? A) The hepatitis A vaccine B) The hepatitis B vaccine C) The hepatitis A and B vaccines D) An immune globulin injection

Nursing

The client has been started on a regimen that includes ranitidine. She complains to the nurse of experiencing depression. The highest priority nursing intervention is to call the physician because this is _______ the medication

a. an adverse reaction to b. indicative of a toxic dose of c. indicative of an anaphylactic reaction to d. an expected side effect of

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The nurse is preparing a client for cancer chemotherapy treatment. While talking with the client, she says, "miracles do happen and I'm praying for one." The nurse interprets this statement as suggesting which religious preference?

A) Judaism B) Buddhism C) Islam D) Christianity

Nursing