The nurse is providing an education program on dental hygiene to a group of older men at a homeless shelter. After completing the program, a few of the participants remained after the program for additional information.
Which of the following responses indicates the need for more education?
A) I should brush twice daily.
B) My goal for brushing is 3 to 4 minutes.
C) A toothbrush is a better tool than a foam swab.
D) Hydrogen peroxide is an effective, inexpensive alternative mouth rinse.
Question 2The home care nurse observes a buildup of cerumen in both ears of an older patient. What should the nurse do to help this patient?
1. Instruct the patient to use a curate to remove the cerumen.
2. Show the patient how to use a bulb syringe to remove the cerumen.
3. Advise the patient to seek medical attention to remove the cerumen.
4. Teach the patient to use a cotton-tipped swab to remove the cerumen.
Question 3A client reports an increasing loss of taste. He indicates he has little desire to eat as a result of the condition. What interventions may be implemented to enhance the client's mealtime experiences?
A) Add increased amounts of salt and pepper to foods.
B) Increase cleansing of the tongue with the toothbrush at least 3 times per day.
C) Attempt to eat more foods that are cooked rather than raw, cool, or room temperature.
D) Increase use of tart flavorings in foods.
Question 4An older patient, experiencing a significant loss of hearing after being involved in an explosion, wants to know how long the loss will last. Which response by the nurse is most appropriate at this time?
1. Surgery will help restore the hearing you have lost.
2. Hearing loss attributed to loud noises is normally reversible.
3. Loud noises can cause immediate, permanent losses of hearing.
4. The most common cause of hearing impairments is the result of exposure to loud noises.
Question 5An elderly client in the hospital is diagnosed with leukemia and is treated with chemotherapy. The client develops stomatitis secondary to receiving the anticancer drugs. The most appropriate nursing diagnosis related to stomatitis is
A) impaired dentition.
B) fluid volume deficit.
C) altered physical mobility.
D) impaired oral mucous membrane.
Question 6An older patient is being treated for glaucoma with Timoptic. Which assessment finding indicates an adverse effect associated with the medication?
1. Diarrhea
2. Slow heat rate
3. Excessive salivation
4. Reduced urinary output
Question 7Identify which one of the following older clients is at greatest risk for periodontal disease.
A) a client who is taking calcium supplements and follows a balanced diet
B) a client who has excessive saliva
C) a client who has a two-pack-per-day cigarette-smoking habit
D) a client who brushes the teeth with a soft-bristled toothbrush
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