Nokea
A dental hygienist finds several new carious lesions in a patient with chronic obstructive respiratory disease (COPD). While conducting the medical and dental histories, the dental hygienist is most likely to find an increased use of which of the following?
- A. Protein
- B. Cough drops
- C. Fluoride
- D. Xylitol
Correct Answer: B
Rationale: The correct answer is B: Cough drops. Patients with COPD often use cough drops to manage their symptoms, which can lead to an increase in carious lesions due to their sugar content. Choices A, C, and D are incorrect as protein, fluoride, and xylitol are not typically associated with an increased risk of carious lesions in patients with COPD.
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Which metabolic disease is characterized by poor healing, severe forms of periodontal disease, necrosis, xerostomia, and candidiasis?
- A. Hypopituitarism
- B. Diabetes mellitus
- C. Hyperthyroidism
- D. Renal disease
Correct Answer: B
Rationale: Diabetes mellitus is the correct answer. It is associated with poor wound healing, severe periodontal disease, tissue necrosis, dry mouth (xerostomia), and an increased susceptibility to oral infections like candidiasis. Hypopituitarism, hyperthyroidism, and renal disease are not typically linked to the specific oral manifestations described in the question.
What food assistance program provides a food debit card for older adults with low incomes?
- A. the OAA Nutrition Program
- B. Meals on Wheels
- C. the Supplemental Nutrition Assistance Program
- D. the Emergency Food Assistance Program
Correct Answer: C
Rationale: The correct answer is C: the Supplemental Nutrition Assistance Program (SNAP). SNAP provides a food debit card to assist low-income individuals, including older adults, in purchasing food. Choice A, the OAA Nutrition Program, is incorrect as it refers to a different program specifically focused on providing nutrition services to older adults. Choice B, Meals on Wheels, is incorrect as it is a meal delivery service for homebound individuals rather than a food debit card program. Choice D, the Emergency Food Assistance Program, is incorrect as it typically involves the distribution of emergency food supplies rather than providing a food debit card.
The term associated with loss of taste is:
- A. Xerostomia
- B. Hypogeusia
- C. Dysphagia
- D. Anosmia
Correct Answer: B
Rationale: The correct answer is B, 'Hypogeusia.' Hypogeusia refers to a diminished sense of taste, which can impact nutritional intake, especially in older adults. Xerostomia (choice A) is dry mouth, Dysphagia (choice C) is difficulty swallowing, and Anosmia (choice D) is the loss of the sense of smell. These conditions are different from loss of taste, making them incorrect choices for this question.
Clients may benefit from slightly higher fat intakes than are normally recommended if they have:
- A. congestive heart failure
- B. cerebrovascular accident
- C. peripheral vascular disease
- D. chronic obstructive pulmonary disease
Correct Answer: D
Rationale: In chronic obstructive pulmonary disease (COPD), higher fat intake can be beneficial because it provides more calories with less respiratory burden compared to carbohydrates. Choices A, B, and C are incorrect because congestive heart failure, cerebrovascular accident, and peripheral vascular disease do not specifically benefit from higher fat intakes as in COPD.
In order to establish and maintain successful breastfeeding, which practice should a lactating mother try to follow?
- A. Initiate breastfeeding within 24 hours of birth
- B. Breastfeed on a schedule of every 2 to 3 hours
- C. Give a pacifier to an infant between feedings
- D. Find a breastfeeding support group to troubleshoot problems
Correct Answer: D
Rationale: The correct answer is D. Finding a breastfeeding support group is crucial for a lactating mother to establish and maintain successful breastfeeding. This group can offer valuable advice, tips, and encouragement, helping the mother troubleshoot any issues that may arise during breastfeeding. Choices A, B, and C are incorrect because breastfeeding is a natural process that should not be overly scheduled, and giving a pacifier between feedings can interfere with establishing proper breastfeeding techniques.