An older client has a significant amount of dental plaque. What can the nurse include when instructing the client about brushing the teeth and gums?
1. Use a foam swab and brush three times a day for 3 to 4 minutes.
2. Use a soft-bristled toothbrush at bedtime and brush for 1 minute.
3. Use a soft-bristled toothbrush and brush twice a day for 3 to 4 minutes.
4. Use a medium to hard-bristled toothbrush and brush twice a day for 3 to 4 minutes.
3. Use a soft-bristled toothbrush and brush twice a day for 3 to 4 minutes.
Explanation: 1. Swabs are useful to moisten and cleanse oral mucosa but are ineffective in removing bacterial plaque.
2. Brushing should be done twice a day for 3 to 4 minutes with a soft-bristled toothbrush. Brushing once a day for 1 minute is not frequent enough.
3. The client should brush the teeth twice per day for 3 to 4 minutes using a soft-bristled toothbrush, which works well to reach between teeth and remove plaque from teeth and from gingival margins.
4. A medium to hard-bristled toothbrush will not get between the teeth and may injure the delicate oral mucosa.
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