The nurse is completing an assessment of an older client's oral cavity. Which finding most concerns the nurse?
1. Leukoplakia
2. Gum redness
3. Excess saliva
4. Multiple cavities
1. Leukoplakia
Explanation: 1. Leukoplakia, a white patchy coating that occurs on the oral mucosa, is not normal and requires further evaluation and possibly biopsy or anti-infective prescription.
2. With age, gums tend to recede leaving the newly exposed area of the teeth below the previous gum line vulnerable to tooth decay. Gingivitis involves red, swollen gums. This does need attention from a dentist, but it is not the most concerning finding.
3. The production of saliva usually decreases with age; however, the appearance of extra saliva is not concerning.
4. Enamel on teeth is worn away and abraded with aging. Cavities need attention but are not an immediate cause of concern.
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