The nurse is caring for an older client with periodontal disease and recognizes that this can be a cause of:
1. tooth loss.
2. excessive dryness in the mouth.
3. furrows in the tongue.
4. excessive craving of salty foods.
Answer: 1
1. Periodontal tissue affects supporting structures of the teeth; diseased tissue contributes to tooth loss.
2. Decreased saliva production contributes to dryness.
3. Furrows are usually a sign of dehydration.
4. Decreased saliva production contributes to decreased taste sensation, which leads to excessive salt use.
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The phase of the nursing process accomplished by a nurse who administers an antiemetic medication to a patient who is suffering from postoperative vomiting is the:
A) Assessment phase B) Planning phase C) Implementation phase D) Evaluation phase
A patient has been prescribed ranitidine. Which of the following statements would indicate that the patient correctly understands the action of this medication?
A) "The medication inhibits acid secretions." B) "The medication is an antibiotic." C) "The medication is an analgesic." D) "The medication will repair my ulcer."
A patient has lost 10 pounds in the last 2 months from breast cancer and chemotherapy. The chemotherapy has caused the patient to not eat. Which nursing diagnosis should the nurse use to develop the plan of care?
a. Imbalanced Nutrition: Less Than Body Requirements Related to Decreased Food Intake b. Imbalanced Nutrition: Less Than Body Requirements Related to Cancer c. Imbalanced Nutrition: Less Than Body Requirements Related to Loss of Weight d. Imbalanced Nutrition: Less Than Body Requirement Related to Insufficient Pre-scription of Chemotherapy
Which safety measure does the nurse use for the adult client who has growth hormone deficien-cy?
a. Avoid intramuscular medications. b. Place the client in protective isolation. c. Use a lift sheet to reposition the client. d. Assist the client to change positions slowly.