The student nurse is reviewing the electronic medical record and notices that the client has listed sordes as a condition under personal hygiene. The student nurse is aware that frequent mouth care is necessary for this condition
Based on this information, what is the best response by the student nurse to the nurse educator of the cause of the condition that requires frequent mouth care? A) Breath odor
B) Inflammation of the tooth sockets
C) Brownish deposits on the tongue
D) Tooth decay
C
Feedback:
Some illnesses cause irritation, dryness, or brownish deposits (sordes) on the tongue and the mouth's mucous membrane. Food particles lodged between the teeth cause decay, breath odor (halitosis), and inflammation of the tooth sockets (pyorrhea, periodontitis). Flossing also removes debris that could cause tooth decay (dental caries) and offensive breath odor.
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1. "With head injuries, the patient can continue to make movements, but these are reflexes that do not reflect brain function." 2. "Your husband will likely recover in time." 3. "As long as he has oxygen to the brain, he will recover." 4. "His movements indicate that his brain is dead."
Which clinical manifestation indicates to the nurse that the client's adrenocortical insuffi-ciency is of primary origin rather than secondary origin?
A. Weight loss B. Red, beefy tongue C. Orthostatic hypotension D. Increased skin pigmentation