The nurse has identified the diagnosis Self-Care Deficit for an older patient with hyposmia. What should the nurse teach the patient prior to being discharged to home? Standard Text: Select all that apply.
1. Date and label all foods.
2. Remove kitchen waste weekly.
3. Use colognes as bath substitute.
4. Establish a schedule for house cleaning.
5. Place natural gas detectors near gas heater or stove.
Question 2A client in a long-term care facility has been diagnosed with oral candidiasis and is prescribed treatment with oral Nystatin for 2 weeks. Select the statement that correctly describes an intervention included in proper treatment with Nystatin.
A) The Nystatin solution should be held in the mouth for 10 seconds, swished about the mouth, and then swallowed.
B) Clients should wear their dentures while swishing the solution to remove the fungus from the dentures also.
C) Diabetic clients are treated with twice-daily Nystatin in the form of a troche to ensure that the antifungal medication is absorbed completely.
D) Dentures should be removed at night and soaked in water to which 1 ml of the Nystatin oral solution has been added.
Question 3An older woman tells the nurse her husband seldom brushes his teeth as he did in the past. Reasons why older clients stop participating in daily oral hygiene practices, such as brushing the teeth, include
A) loss of manual dexterity.
B) malocclusion of teeth.
C) decrease in taste acuity.
D) lack of dental insurance.
Question 4The nurse is completing an assessment of an older patient's eyes. Which findings does the nurse identify as being normal age-related changes? Standard Text: Select all that apply.
1. Cataracts
2. Ectropion
3. Entropion
4. Glaucoma
5. Arcus senilis
Question 5An older patient is prescribed antihistamines. What will the nurse assess as side effects of this medication? Standard Text: Select all that apply.
1. Altered taste
2. Altered smell
3. Altered touch
4. Altered vision
5. Altered hearing
Question 6Clients in long-term care facilities who are uncooperative with oral hygiene, including teeth brushing, are likely to benefit from the use of which of the following agents in the mouth care they do receive?
A) lemon and glycerine swabs
B) Nystatin
C) undiluted hydrogen peroxide
D) chlorhexidine (Peridex)
Question 7Which is a pathophysiological cause that the nurse recognizes in an older patient with hyposmia?
1. Increased neurotransmitters
2. Injury of the olfactory mucosa
3. Increased number of sensory cells
4. Lower thresholds for common odors
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