A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?
Rinse the client's dentures in hot water.
Place the client's dentures on a washcloth in a sink.
Clean the client's dentures with regular toothpaste.
Remove the client's dentures with a moist glove.
The Correct Answer is B
A. Rinse the client's dentures in hot water: Hot water can cause dentures to warp.
B. Place the client's dentures on a washcloth in a sink: A washcloth can help prevent dentures from breaking if they fall and prevents damage.
C. Clean the client's dentures with regular toothpaste: Regular toothpaste can be abrasive and damage the dentures. Denture-specific cleaners should be used.
D. Remove the client's dentures with a moist glove: A moist glove is not necessary for removing dentures. Dentures should be removed with clean, gloved hands if needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lecture involves the nurse delivering information, with limited client participation, unlike the interactive nature of teach-back.
B. Role play involves the client simulating actions, but it is distinct from teach-back, which focuses on verbal explanation to confirm understanding.
C. Teach-back requires the client to explain the procedure in their own words, ensuring they have understood the teaching.
D. Question and answer involves asking specific questions to clarify understanding but does not require the client to verbalize the procedure.
Correct Answer is ["B","C","D","E","F"]
Explanation
- Mucous membranes pink, skin warm and dry.
- Coughing and clearing throat when eating.
- Voice hoarse after swallowing.
- Temperature 38 °C (100.4 °F)
- Bilateral breath sounds with wheezing heard in upper lobes.
- Oxygen saturation 88% on room air
Rationale
Coughing and clearing throat when eating: This indicates potential dysphagia (difficulty swallowing), which increases the risk of aspiration pneumonia—a serious complication post-stroke.
Voice hoarse after swallowing: Hoarseness or voice changes can also signal impaired swallowing or aspiration risk, necessitating evaluation by a speech therapist or further swallowing studies.
Temperature 38.5°C (101.3°F): An elevated temperature may suggest infection (e.g., aspiration pneumonia or another complication) and warrants further investigation, particularly in a post-stroke client.
Bilateral breath sounds with wheezing heard in upper lobes: Wheezing could indicate an airway obstruction, aspiration, or developing respiratory compromise, which is critical in this population.
Oxygen saturation 88% on room air: Hypoxemia is a critical finding requiring immediate intervention, such as supplemental oxygen and investigation into the underlying cause (e.g., aspiration, infection, or pulmonary embolism).
Mucous membranes pink, skin warm and dry: These findings are within normal limits and do not indicate a pressing issue.
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