An older patient reports having a white patch inside the mouth. The nurse assesses a 2 cm by 2 cm ...

An older patient reports having a white patch inside the mouth. The nurse assesses a 2 cm by 2 cm lesion on the inner aspect of the left jaw. How should the nurse respond to the patient?

1. Rinse with a mild solution of hydrogen peroxide and water.
2. The white patch is the result of aging and no cause for concern.
3. You should contact your healthcare provider for an evaluation of the area.
4. I think the patch looks like a bacterial infection and you will most likely need an antibiotic.

Question 2

A hospitalized client requests a small inflated donut to sit on to relieve pressure. The client explains having used one during a previous illness. What response by the nurse is most appropriate?

A) I will obtain the device for you.
B) I will need to get an order from the physician.
C) Using the donut can cause skin breakdown.
D) You will need to wait until discharge and use this at home.

Question 3

The gerontological nurse is planning a presentation on dental care of older patients for the nursing staff in a skilled facility. What information should the nurse include in the presentation?

1. The older adult should brush the teeth once daily.
2. Flossing should be limited to avoid dental complications.
3. The use of alcohol-based mouthwashes is helpful to reduce bacteria.
4. The older adult should have dental cleaning performed two times per year.

Question 4

The nurse is collecting data from a client who is being seen at the ambulatory care clinic for a routine physical examination. While listening to the client's lungs, the nurse notes a small, indurated, scaled spot on the client's upper chest.

The nurse records the findings. Based upon your knowledge, which of the following diagnoses most closely resembles the nurse's findings?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Malignant melanoma
D) Actinic keratosis

Question 5

An older patient says that gargling is done every day with hydrogen peroxide and asks the nurse how frequently this should be done. What information should the nurse provide to the patient?

1. Advise to suspend the practice.
2. Mix the hydrogen peroxide with mouthwash for gargling.
3. Dilute the hydrogen peroxide solution with water prior to gargling.
4. Gargle with the hydrogen peroxide only one time per day to reduce irritation.

Question 6

A client is preparing for discharge. When planning the information that will be provided prior to leaving the hospital, which of the following medications should be accompanied with a warning to avoid extended sun exposure?

A) Ibuprofen
B) Tylenol
C) Aspirin
D) Vicodin

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An older patient reports having a white patch inside the mouth. The nurse assesses a 2 cm by 2 cm ...

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