A client asks about maintaining taste and smell. Which of the following statements should the nurse make?

Avoid smoking and exposure to strong odors.

Brush your teeth twice per day.

See your dentist every 2 years.

Use salt sparingly on foods.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Avoiding smoking and exposure to strong odors is essential for maintaining the senses of taste and smell. Smoking and strong odors can damage sensory receptors and impair these senses. By avoiding these harmful factors, individuals can help preserve their ability to taste and smell.

Choice B reason:

Brushing your teeth twice per day is important for dental hygiene but does not directly address maintaining taste and smell. While oral hygiene can contribute to a healthy mouth, it does not significantly impact the sensory receptors for taste and smell.

Choice C reason:

Seeing your dentist every 2 years is insufficient for regular dental care, as most recommendations suggest biannual visits. Moreover, it does not directly correlate with maintaining taste and smell. Regular dental check-ups help maintain oral health, but they are not a primary factor in preserving taste and smell.

Choice D reason:

Using salt sparingly on foods is beneficial for overall health, particularly in managing blood pressure, but it does not directly address maintaining taste and smell. This advice is more relevant to dietary management rather than sensory preservation.

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Correct Answer is D

Explanation

Choice A reason:

Acyclovir (Zovirax) is an antiviral medication used to treat viral infections such as herpes simplex. It is not effective against fungal infections like oral thrush.

Choice B reason:

Metronidazole (Flagyl) is an antibiotic effective against anaerobic bacteria and certain protozoa but not fungal infections. It is not suitable for treating oral thrush.

Choice C reason:

Amoxicillin (Amoxil) is a broad-spectrum antibiotic used to treat bacterial infections. It has no effect on fungal infections like oral thrush.

Choice D reason:

Nystatin (Mycostatin) is an antifungal medication specifically used to treat oral thrush (candidiasis). It works by binding to the fungal cell membrane, causing it to leak and eventually die, making it the appropriate treatment for the white, milky plaques seen in this immunosuppressed client.

A. A client with lactose intolerance B. A client who has had a cerebrovascular accident C. A client who has had prolonged diarrhea D. A client who has had trauma to the head and neck E. A client who is 4 hours postoperative following a leg amputation with general anesthesia

Correct Answer is ["B","D","E"]

Explanation

Choice A reason:

Lactose intolerance affects digestive efficiency but does not increase aspiration risk. It primarily causes gastrointestinal symptoms like bloating and diarrhea without impairing swallowing mechanisms.

Choice B reason:

A cerebrovascular accident (stroke) can impair swallowing (dysphagia) due to neurological deficits, significantly raising aspiration risk. These clients need careful assessment and possibly modified diets to prevent aspiration.

Choice C reason:

Prolonged diarrhea affects fluid and electrolyte balance but does not directly compromise swallowing ability. It’s more related to digestive health rather than risks associated with aspiration.

Choice D reason:

Trauma to the head and neck can damage the nerves or structures involved in swallowing, markedly increasing the risk of aspiration. These clients often require detailed assessment and sometimes alternative feeding methods to prevent aspiration.

Choice E reason:

Postoperative clients, especially those recently under general anesthesia, are at risk due to residual effects of anesthesia which can depress the reflexes that protect the airway. Hence, their swallowing function may be temporarily impaired, heightening the risk of aspiration.

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A client asks about maintaining taste and smell. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should anticipate which drug to be administered to this client?

Correct Answer is D

Explanation

A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating (select all that apply)?

Correct Answer is ["B","D","E"]

Explanation

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