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Claudia899 Claudia899
wrote...
Posts: 373
Rep: 0 1
6 years ago
The older man complains of a hard white patch that has developed on the side of his tongue. What would be the most appropriate action of the nurse?
 
  a. Request a dental consult to evaluate his dentures for adequate fit.
  b. Examine his teeth to assess for a lost filling, which has left sharp edges on his teeth.
  c. Request a medical consult for evaluation of a precancerous lesion.
  d. Provide frequent, warm, salt water rinses for his mouth.

Question 2

What position would be most appropriate to reduce pressure ulcers in a bedridden patient?
 
  a. Directly on his side, with the trochanter bearing the weight
  b. Supine, with the sacrum and iliac crest bearing the weight
  c. In a semi-Fowler position, with the sacrum and ischium bearing the weight
  d. In a lateral position, with body rotated 30 degrees with gluteus bearing the weight

Question 3

The long-term care facility nurse requests a dental consult to treat gingivitis in a resident. If left untreated, what can gingivitis ultimately cause?
 
  a. Receding gums
  b. Tooth loss
  c. Bleeding
  d. Halitosis

Question 4

The long-term care facility resident who has not worn his dentures for several months complains that the dentures no longer fit. Why do the dentures no longer fit?
 
  a. The gums have hypertrophied.
  b. The gums have receded.
  c. The jaw shape has altered.
  d. The dentures have warped from disuse.

Question 5

When the patient complains of dry mouth, what should the nurse assess for?
 
  a. Difficulty in chewing and swallowing
  b. Mouth ulcerations
  c. Adequate intake of vitamin B
  d. Inflammation of the tongue

Question 6

What preventative action can be taken to prevent skin trauma from shearing force?
 
  a. Slide the patient across the bed linens to change position.
  b. Apply generous amounts of lotion to the patient's skin.
  c. Lift the patient on draw sheets when pulling up in bed.
  d. Give the patient frequent tub baths to soften the skin.
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Replies
wrote...
6 years ago
Answer to #1

ANS: C
Leukoplakia is a precancerous condition that requires a medical consultation.

Answer to #2

ANS: D
The 30-degree lateral position places weight on the gluteus muscle, avoiding weight-bearing on bony prominences such as the trochanter, sacrum, and ischium.

Answer to #3

ANS: B
The bleeding, swelling, and receding gums of gingivitis ultimately lead to tooth loss.

Answer to #4

ANS: C
The arch of the jaw changes to compensate for the absence of teeth.

Answer to #5

ANS: A
Xerostomia causes difficulty in chewing and swallowing because food sticks to the mucous membranes and tooth surfaces.

Answer to #6

ANS: C
Lifting patients up clear of the bed linens to move or change position will reduce the risk of shear force injury.
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