A client with oral Candidiasis has the nursing diagnosis Acute Pain related to altered oral mucous membrane and ulcerations. To rinse the mouth and provide comfort, the nurse should instruct the client to use
a. a commercial mouthwash.
b. Dakin's solution.
c. half-strength peroxide.
d. saline mouth rinses.
D
Rinsing the mouth with saline promotes comfort. Commercial mouthwashes often contain alcohol, which is drying. Dakin's solution is not used in the mouth. Peroxide at even half strength, might be uncomfortable to the client.
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While assessing the patient, the nurse observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?
A) The system is functioning normally. B) The patient has a pneumothorax. C) The system has an air leak. D) The chest tube is obstructed.
A newly diagnosed type 2 diabetic patient is started on a new drug that comes from incretin hormones. Glucagon-like peptide 1 (GLP1) is used because of what effect it has on the body?
1. It has the least allergic effect. 2. It is easy to administer. 3. It inhibits glucagon secretion. 4. It slows islet growth.
A client has a circumferential third-degree burn on the upper left arm. The nursing assessments specific for this client would include
a. assessing capillary refill in the left hand. b. evaluating left hand strength. c. measuring left forearm circumference. d. monitoring blood pressure in the left arm.
A patient who has a permanent pacemaker must have surgery to repair a bowel obstruction. Which information should the nurse provide this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "Because the surgical area is in your abdomen, the fact that you have a pacemaker is not important.". 2. "Some changes in medication given during the surgery will be necessary.". 3. "Your surgeon will need information about the type of pacemaker.". 4. "Your pacemaker will have to be turned off before surgery.". 5. "Cardiac monitoring during surgery will be different because you have a pacemaker.".