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dindsi dindsi
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Posts: 564
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6 years ago
The nurse learns that an older patient with ill-fitting dentures has been using an over-the-counter (OTC) preparation for a gum sore over the last month. What should the nurse instruct this patient to do?
 
  1. make an appointment to see the physician
  2. continue to use the preparation
  3. change the preparation
  4. stop wearing the dentures

Question 2

The nurse is teaching a patient about the major risk factors for peptic ulcer disease (PUD). Which risk factors should the nurse discuss?
 
  Select all that apply.
  1. chronic H. pylori infection
  2. use of aspirin and NSAIDs
  3. use of alcohol
  4. dietary intake
  5. stress

Question 3

A patient is being evaluated for gastroesophageal reflux disease (GERD). Which diagnostic tests should the nurse expect to be prescribed for this patient?
 
  Select all that apply.
  1. barium swallow
  2. upper endoscopy
  3. CT scan
  4. complete blood count
  5. colonoscopy

Question 4

The physician has ordered metoclopramide (Reglan) 2 mg/kg IVP to be given 30 minutes before the start of chemotherapy. The patient weighs 54 kg. The Reglan is dispensed in a 10 mg/10 mL vial.
 
  How many milliliters of the medication should the nurse administer?
  Record your answer rounding to the nearest whole number.

Question 5

The nurse is teaching a patient with stomatitis about mouth care. What should the nurse include in this teaching?
 
  Select all that apply.
  1. Avoid tobacco and alcohol.
  2. Use a saline or sodium bicarbonate rinse after every meal.
  3. Consume 8 oz of yogurt or buttermilk daily.
  4. Avoid cold beverages.
  5. Use lemon-glycerin swabs between meals.
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1
The nurse should encourage patients with ill-fitting dentures or other dental prostheses (such as partial plates) to see a qualified dentist or denturist. Because the current OTC remedy is not effective, the patient should stop using it and see the physician before using a different OTC preparation. Not wearing the dentures can lead to nutritional problems and social isolation.

The answer to question 2

Correct Answer: 1, 2
Chronic H. pylori infection and the use of aspirin and NSAIDs are the two major risk factors for PUD. Alcohol and dietary intake do not seem to cause PUD, and the role of stress is uncertain in PUD.

The answer to question 3

Correct Answer: 1, 2
Diagnostic tests for gastroesophageal reflux disease include a barium swallow, which evaluates the esophagus, stomach, and upper intestine, and upper endoscopy, which allows direct visualization of the esophagus. CT scan, complete blood count, and colonoscopy are not diagnostic tests for gastroesophageal reflux disease.

The answer to question 4

Correct Answer: 10.8

The answer to question 5

Correct Answer: 1, 2, 3
The patient should be instructed to avoid the use of tobacco and alcohol as they damage the oral mucosa and increase the risk for oral mucositis. Saline or sodium bicarbonate rinses are buffering agents that are gentler on the oral mucosa Patients taking an extended course of antibiotic therapy or who have impaired immune function should consume 8 oz of yogurt containing live bacterial cultures or 8 oz of buttermilk daily. Cold drinks generally are more soothing than hot drinks, which should be avoided. Lemon-glycerin swabs are drying to the oral mucosa and should be avoided.
dindsi Author
wrote...
6 years ago
All are right
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