Nokea
The nurse is educating a client who has stomatitis on oral care. Which of the following recommendations would be appropriate?
- A. Recommend the client swish and spit alcohol mouthwash.
- B. Provide lemon glycerin swabs in between meals.
- C. Recommend the client swish and spit saline mouthwash.
- D. Instruct the client to cleanse their mouth with chlorhexidine.
Correct Answer: C
Rationale: Saline mouthwash soothes stomatitis without irritation. Alcohol mouthwash and lemon swabs are harsh, and chlorhexidine may be prescribed but isn’t the primary recommendation.
You may also like to solve these questions
The occupational health nurse is conducting an in-service on reducing back injuries in the workplace. It would be correct for the nurse to identify that the most common location of back injuries is in the
- A. Cervical spine.
- B. Lumbar spine.
- C. Thoracic spine.
- D. Pelvis.
Correct Answer: B
Rationale: The lumbar spine is the most common site for back injuries due to its weight-bearing role and flexibility. Other areas are less frequently injured.
The nurse is caring for a child immediately postoperative following a left ear myringotomy. The nurse should position the child
- A. left lateral recumbent
- B. prone
- C. right lateral recumbent
- D. modified trendelenburg
Correct Answer: C
Rationale: Positioning the child on the right lateral recumbent side (operative ear up) post-myringotomy facilitates drainage from the left ear and prevents pressure on the surgical site. Left lateral recumbent or prone positions could obstruct drainage, and modified Trendelenburg is not indicated.
The nurse is caring for several clients in a long-term care facility. Which interventions should the nurse implement to reduce the risk of injury from falls? Select all that apply.
- A. Avoid administering ibuprofen at night
- B. Secure the call button to the side of the bed
- C. Keep the bed in the lowest position
- D. Place fall risk bands on clients at risk of falling
- E. Reposition clients off of bony prominences every two hours
Correct Answer: B,C,D
Rationale: Securing the call button, keeping the bed low, and using fall risk bands reduce fall risk. Ibuprofen and repositioning are unrelated to fall prevention.
The nurse is performing health screenings on a group of refugees. The nurse plans on performing which screening for this population group? Select all that apply.
- A. Hypothyroidism
- B. Attention deficit hyperactivity disorder (ADHD)
- C. Pulmonary tuberculosis
- D. Intestinal parasites
- E. Viral hepatitis
Correct Answer: C,D,E
Rationale: Refugees are at higher risk for tuberculosis, intestinal parasites, and viral hepatitis due to living conditions and exposure risks.
The nurse has attended a conference on intraoperative nursing interventions for the older adult. which of the following statements by the nurse would indicate the need for additional teaching?
- A. Warming devices should be used to prevent the client from developing hypothermia
- B. The client's head and feet should be covered during surgery
- C. Clients should be slid, not lifted into the proper position
- D. Providing extra padding for clients with decreased peripheral circulation is important
Correct Answer: C
Rationale: Sliding clients instead of lifting can cause shear injuries, particularly in older adults with fragile skin. Warming devices, covering extremities, and extra padding are appropriate to prevent hypothermia and protect pressure points, indicating correct understanding.