A nurse is caring for a patient who is acutely ill and has included vigilant oral care in the patient's plan of care. Why are patients who are ill at increased risk for developing dental caries?
A) Hormonal changes brought on by the stress response cause an acidic oral environment
B) Systemic infections frequently migrate to the teeth
C) Hydration that is received intravenously lacks fluoride
D) Inadequate nutrition and decreased saliva production can cause cavities
Ans: D
Feedback:
Many ill patients do not eat adequate amounts of food and therefore produce less saliva, which in turn reduces the natural cleaning of the teeth. Stress response is not a factor, infections generally do not attack the enamel of the teeth, and the fluoride level of the patient is not significant in the development of dental caries in the ill patient.
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