A nurse is caring for a client with complaints of xerostomia. The nurse should encourage the client to:

drink adequate noncaffeinated and nonalcoholic beverages.

take nutrient-dense foods or to combine plant-based proteins.

take protein-based liquid supplements.

get dental care and practice dental hygiene daily.

Answer and Explanation

The Correct Answer is A

A. Drink adequate noncaffeinated and non-alcoholic beverages: Xerostomia (dry mouth) can be alleviated by staying hydrated with noncaffeinated and non-alcoholic beverages, which help to moisten the mouth and improve comfort.

B. Take nutrient-dense foods or to combine plant-based proteins: While nutrient-dense foods are important for overall health, they do not specifically address the issue of xerostomia. Plant-based proteins do not directly impact the symptoms of dry mouth.

C. Take protein-based liquid supplements: Protein-based liquid supplements are not specifically designed to address dry mouth and may not help in alleviating xerostomia.

D. Get dental care and practice dental hygiene daily: While dental care and hygiene are important for overall oral health, they do not specifically address xerostomia. Drinking fluids is more directly helpful for managing dry mouth.

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Correct Answer is C

Explanation

A. A desire to initiate conversation with roommates. Clients with depression typically withdraw socially and may not seek to initiate conversations or engage with others.

B. Expansive and dramatic movements. Expansive and dramatic movements are more characteristic of mania, not depression.

C. Decelerated movements and flat affect. Depression often leads to psychomotor retardation, where the client’s movements are slow and their affect is flat, showing a lack of emotional expression.

D. Overly excited interest in the admission. An overly excited interest would be inconsistent with the symptoms of depression, which often include a lack of interest or enthusiasm.

A. Diarrhea B. Pinpoint-sized pupils C. Weight gain D. Bulimia

Correct Answer is B

Explanation

A. Diarrhea: Opiates typically cause constipation, not diarrhea. Diarrhea is not a common finding with opiate use.

B. Pinpoint-sized pupils: Opiates commonly cause miosis, or pinpoint pupils. This is a classic sign of opiate use and is important for assessment.

C. Weight gain: Opiate use is not typically associated with weight gain; in fact, it can sometimes lead to decreased appetite and weight loss.

D. Bulimia: Bulimia is an eating disorder characterized by binge eating and purging. It is not a typical effect of opiate use.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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