Nokea
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental care in a client with mitral stenosis should include demonstration of the proper use of:
- A. A manual toothbrush.
- B. An electric toothbrush.
- C. An irrigation device.
- D. Dental floss.
Correct Answer: D
Rationale: Dental floss removes plaque and debris, reducing the risk of oral infections that could lead to endocarditis in mitral stenosis.
You may also like to solve these questions
A family member asks the nurse why their loved one with end-stage liver cancer is so restless. The nurse's best response is:
- A. Restlessness is a side effect of pain medications.
- B. It may be due to decreased oxygen to the brain.
- C. It's a normal part of the dying process.
- D. It's caused by dehydration.
Correct Answer: C
Rationale: Restlessness is a common symptom in the dying process, often due to metabolic changes or psychological factors, and explaining this normalizes the family's experience.
The nurse should teach the diabetic client that which of the following is the most common symptom of hypoglycemia?
- A. Nervousness.
- B. Anorexia.
- C. Kussmaul's respirations.
- D. Bradycardia.
Correct Answer: A
Rationale: Nervousness is a common symptom of hypoglycemia due to the body's stress response to low blood glucose levels.
Which of the following statements indicates the client understands the expected course of Ménière'sdisease?
- A. The disease process will gradually extend to the eyes.
- B. Control of the episodes is usually possible, but a cure is not yet available.
- C. Continued medication therapy will cure the disease.
- D. Bilateral deafness is an inevitable outcome of the disease.
Correct Answer: B
Rationale: Ménière'sdisease is a chronic condition with no cure, but episodes can often be managed with medications, diet, and lifestyle changes, though hearing loss may progress over time.
A client had a colectomy 8½ hours ago. She has received 1,500 mL of dextrose 5% in water with normal saline solution. The client has just used a patient-controlled analgesia pump to administer morphine for pain, has been repositioned for comfort, and has stable pulse rate, respirations, and blood pressure. What should the nurse do next?
- A. Check that the family is comfortable.
- B. Assess vital signs following the use of morphine.
- C. Dim the lights in the room.
- D. Increase nasal oxygen from 2 to 3 L.
Correct Answer: B
Rationale: Morphine can cause respiratory depression or hypotension. Assessing vital signs after PCA use ensures the client's safety and detects adverse effects promptly.
The nurse is preparing a client for a paracentesis. The nurse should:
- A. Have the client void immediately before the procedure.
- B. Place the client in a side-lying position.
- C. Initiate an I.V. line to administer sedatives.
- D. Place the client on nothing-by-mouth (NPO) status 6 hours before the procedure.
Correct Answer: A
Rationale: Voiding before paracentesis (A) prevents bladder injury during the procedure. Side-lying (B) is incorrect; upright is preferred. IV sedatives (C) are not routine, and NPO status (D) is unnecessary.