Oral care for a client with stomatitis should include which of the following?

a. alcohol based mouthwash c. saline rinse every 4 hours
b. firm toothbrush d. rinse mouth with warm to hot water


C
Nursing management of stomatitis includes monitoring caloric and fluid intake for adequacy, encouraging the client to eat soft, bland foods and cool or room temperature liquids, assessing for mouth discomfort and checking the mouth for inflammation and ulcerations. The nurse should also provide oral care and administer medications as ordered. Instruct client to rinse mouth after eating and to use a soft toothbrush. Clients may use a saline solution to rinse the mouth, however, strong mouth washes containing alcohol should be avoided. Notify physician if pain medications are not effective in relieving discomfort.

Nursing

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Which alteration of the psychological domain may occur in patients with sleep disorders?

1. Decreased immune function 2. Impaired cognitive functioning 3. Inability to perform work tasks 4. Decreased enjoyment in social activities

Nursing

The Vaccine Injury Compensation Act requires that a written record of vaccines be maintained of all the following information, except:

a. injection site of vaccination. c. lot number. b. manufacturer. d. expiration date of the vaccine.

Nursing

A nurse is concerned that an agency's policies are inadequate. Which understanding about the relationship between substandard institutional policies and individual nursing practice should guide nursing practice?

a. Agency policies do not exempt an individual nurse of responsibility to practice according to professional standards of nursing care. b. Agency policies are the legal standard by which a professional nurse must act and therefore override other standards of care. c. Faced with substandard policies, a nurse has a responsibility to inform the supervisor and discontinue patient care immediately. d. Interpretation of policies by the judicial system is rendered on an individual basis and therefore cannot be predicted.

Nursing

The patient with Gastroesophageal Reflux Disease (GERD) is likely to complain of

A. diarrhea. B. excess flatus. C. heartburn. D. constipation.

Nursing