An older patient is surprised to learn of the diagnosis of oral candidiasis. What responses should the nurse make to this patient? Standard Text: Select all that apply.
1. It can be seen in people who have diabetes.
2. It is often caused by eating spicy or irritating foods.
3. Sometimes people who use oral inhaled steroids for asthma can develop this.
4. It is a bacterial infection that may be transmitted by contact with dirty utensils.
5. It is an infection that results when there is an alteration in the normal flora of the mouth.
Question 2A client has recently been diagnosed with skin cancer. When discussing the diagnosis with the nurse, the client tearfully asks why she could have gotten skin cancer, as she has never sunbathed in her life.
What response by the nurse is indicated at this time?
A) We frequently never find out why cancer strikes.
B) Sun exposure can happen as we carry out our daily activities.
C) This is unusual, as skin cancer normally only occurs in sunbathers.
D) Can you tell me more about your feelings?
Question 3A client questions the nurse concerning her dry skin. The client reports she has not changed her skin care regimen but notices increasing dryness. A review of the medical records notes the client is 55 years of age.
Which of the following statements best explains the experiences of the client?
A) There is an increase in the number of sweat glands present as the individual ages.
B) There is a reduction in sebum production as the body ages.
C) There is an increase in body core temperature with aging, resulting in skin drying.
D) There is a decrease in the number of sweat glands in the body with aging.
Question 4The nurse notes that several older patients are experiencing halitosis. What should the nurse consider as underlying causes of the condition? Standard Text: Select all that apply.
1. Ill-fitting dentures
2. Stomach disorders
3. The limited amount of fluid intake
4. The number of medications being administered
5. Limited attention to hygiene caused by problems with manual dexterity
Question 5While performing a physical assessment, the nurse notes the client has multiple brown and black bands on the finger nails of the thumbs and index fingers.
The nurse recognizes which of the following statements about this finding to be most correct?
A) These findings are associated with damage to the nail matrix.
B) This is an indication the finger nails are going to split in response to recent trauma.
C) These findings are indicative of a fungal infection.
D) These benign findings are often seen in African Americans.
Question 6The nurse assesses the teeth, gums, and tongue of an older patient complaining of mouth pain. What additional actions should the nurse take at this time? Standard Text: Select all that apply.
1. Review vital signs.
2. Assess respiratory status.
3. Encourage the patient to gargle.
4. Review the patient's tooth brushing routine.
5. Palpate lymph nodes along the patient's jaw.
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