The nurse assesses the teeth, gums, and tongue of an older patient complaining of mouth pain. What additional actions should the nurse take at this time? Standard Text: Select all that apply
1. Review vital signs.
2. Assess respiratory status.
3. Encourage the patient to gargle.
4. Review the patient's tooth brushing routine.
5. Palpate lymph nodes along the patient's jaw.
1,2,5
Rationale: When older patients complain of mouth pain the vital signs should be checked to rule out an acute infection.
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