A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this patient?

a. Remove food debris from the teeth and oral mucosa with a stiff toothbrush.
b. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
c. Gargle and rinse the mouth several times a day with an antiseptic mouthwash.
d. Rinse the mouth before and after each meal and at bedtime with a saline solution.


ANS: D
The patient should rinse the mouth with a saline solution frequently. A soft toothbrush is used for oral care. Hydrogen peroxide may damage tissues. Antiseptic mouthwashes may irritate the oral mucosa and are not recommended.

Nursing

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You are doing teaching with a patient who has a leg ulcer. You are teaching about tissue repair and wound healing. Which of the following statements by the patient indicates that teaching has been effective?

A) "I'll limit my intake of protein." B) "I'll make sure that the bandage is wrapped tightly." C) "My foot should feel cold." D) "I'll eat plenty of fruits and vegetables."

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A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation. Which client exhibits the highest motivation?

1. A client who has been struggling with following nursing directives regarding discharge goals 2. The client who has just moved in and is already eager for discharge 3. A client who is excited to learn about his new prosthesis 4. A client who has been there the longest and is a great "coach" for newcomers

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It is widely recognized and accepted that our diets can result in various disorders and diseases. Food is also responsible for many benefits. Some components are specifically known for their cardiometabolic benefits

Which of the following has linked fruits to possible cardiometabolic benefits? A) Antioxidant benefits C) Sodium B) Unsaturated fatty acids D) Omega-3 fatty acids

Nursing