What should the nurse use for mouth care in an older patient who is unable to perform teeth brushing ...

What should the nurse use for mouth care in an older patient who is unable to perform teeth brushing independently?
 
  1. Nystatin
  2. Chlorhexidine (Peridex)
  3. Lemon and glycerin swabs
  4. Undiluted hydrogen peroxide

Question 2

An older patient is experiencing mouth pain rated 6 on a 10 point pain scale. What action should the nurse take first?
 
  1. Medicate the patient with a prescribed mild analgesic.
  2. Carefully inspect the patient's mouth, teeth, and tongue.
  3. Notify the physician in charge about the patient's problem.
  4. Instruct the patient to begin rinsing the mouth with an isotonic solution.

Question 3

A hospice nurse is caring for a dying client. The client complains of pain in his legs that he describes as burning and tingling. He rates the pain a 10 on a scale from 1 to 10. The client is currently taking morphine.
 
  What additional type of medication would the nurse expect to be prescribed for this type of pain?
  A) NSAID
  B) Antidepressant
  C) Benzodiazipine
  D) Antipsychiotic

Question 4

A hospice nurse is visiting a client who is being cared for by her daughter in her daughter's home. The client is no longer able to answer questions. The daughter is concerned that her mother may still be in pain.
 
  What assessment data may indicate that the client is in pain?
  A) Moaning while being turned
  B) Cool, dry skin
  C) Cheyne-Stokes respiratory pattern
  D) Cyanotic feet and lower legs

Question 5

An older patient has several small vesicles with eroded centers on the lips. What does this finding suggest to the nurse?
 
  1. Gingivitis
  2. Leukoplakia
  3. Herpes simplex
  4. Oral candidiasis

Question 6

A hospice nurse is preparing an educational program for a group of newly licensed nurses. The topic of the presentation is common fears and concerns of the dying. What information does the nurse need to include? Select all that apply.
 
  A) Thoughts of a long or painful death
  B) Facing death alone
  C) Dying at home
  D) Financial costs and becoming a burden on others
  E) Loss of consciousness

Question 7

The nurse is completing an assessment of an older patient's oral cavity. Which finding is considered normal because of the aging process?
 
  1. Leukoplakia
  2. Gum recession
  3. Increased saliva
  4. Thickening tooth enamel

Question 8

Which actions would the nurse take to prevent skin tears on an older patient with friable skin? Standard Text: Select all that apply.
 
  1. Avoid harsh soaps.
  2. Apply silk tape over dressings.
  3. Ensure an adequate fluid intake.
  4. Use a lift sheet to reposition in bed.
  5. Apply skin-moisturizing cream to arms and legs twice a day.

Question 9

A nurse is caring for a client who is dying. When the nurse enters the room, the client starts yelling at the nurse, stating, I can't believe this. I am a good person. Why me? According to Kubler-Ross, which stage of dying is the client in?
 
  A) Bargaining
  B) Anger
  C) Depression
  D) Denial