The nurse is examining the oral cavity of an elderly client with complaints of mouth soreness. Red, cracked skin is noted at each corner of the mouth
Which of the following findings is most consistent with this client's condition? Standard Text: Select all that apply. 1. The client states, "I have an appointment next week to get some better fitting dentures.".
2. Red blood cell count is 6.2 million/ mm3.
3. The healthcare provider has diagnosed the client with cheilitis.
4. The client suffered from a cerebrovascular accident last May.
5. The result of the culture of the drainage is that candida albicans is present.
1,3,4,5
Rationale 1: The client states, "I have an appointment next week to get some better fitting dentures.". Cheilitis may also be called angular stomatitis. Cheilitis is seen in persons with poorly fitting dentures.
Rationale 2: Red blood cell count is 6.2 million/ mm3. The client's red blood cell count is elevated. This is not necessarily associated with the development of cheilitis.
Rationale 3: The healthcare provider has diagnosed the client with cheilitis. The nurse would not be surprised to learn that the healthcare provider diagnosed the condition as cheilitis.
Rationale 4: The client suffered from a cerebrovascular accident last May. Clients who have a history of a stroke have an increased risk of developing cheilitis because they may be unable to swallow well.
Rationale 5: The result of the culture of the drainage is that candida albicans is present. Cheilitis can be caused by candida infection.
You might also like to view...
When the CAGE questionnaire is used to guide the assessment of alcohol misuse, the nurse would ask which questions?
1. Have you ever crashed overnight in an unfamiliar area, arrived late for work, given up family and friends, or escaped arrest by the law? 2. Have you ever felt the need to cut down on drinking, felt annoyed by criticism of your drinking, ever had guilty feelings about your drinking, or ever had an eye opener first thing in the morning to get rid of a hangover? 3. Have you ever had a big crisis that led to arrest and grief from your family and friends and tried to explain away your actions? 4. Have you called off or were absent from work because you had too much to drink and needed to sleep it off?
The nurse cares for an older adult and recognizes the client is at increased risk for developing infection. Which condition poses the greatest risk of infection in the client?
A. Diabetes mellitus B. Eczema C. Glaucoma D. Emphysema
The nurse is caring for a patient with suspected right-sided heart failure. Which manifestation best supports this potential diagnosis?
a. Wheezing b. Orthopnea c. Edema d. Pallor
A mother's household consists of her husband, his mother, and another child. She is living in a(n):
a. Extended family. c. Married-blended family. b. Single-parent family. d. Nuclear family.