A nurse is providing oral care for a client who had has impaired upper extremity strength. Which of the following actions should the nurse take?

Provide the client with an electric toothbrush.

Give the client an alcohol-based mouth wash.

Give the client lemon-glycerin mouth swabs.

Provide the client with a spool of dental floss.

Answer and Explanation

The Correct Answer is A

A. Provide the client with an electric toothbrush: An electric toothbrush is an appropriate option for a client with impaired upper extremity strength. It requires less physical effort to use compared to a manual toothbrush, making it easier for the client to maintain oral hygiene effectively. The powered brushing action can help ensure more thorough cleaning of the teeth and gums.

B. Give the client an alcohol-based mouth wash: Alcohol-based mouthwashes can be irritating to the oral mucosa, especially in clients who may have dry mouth or other oral health issues. Instead, a non-alcoholic mouthwash or rinse should be considered to promote comfort and effective oral care.

C. Give the client lemon-glycerin mouth swabs: Lemon-glycerin swabs are not recommended for oral care, as they can be irritating and may cause dryness in the mouth. Additionally, lemon can be acidic and potentially harm the enamel of the teeth. It is better to use products designed for sensitive oral care.

D. Provide the client with a spool of dental floss: While dental floss is important for maintaining oral hygiene, using it requires manual dexterity and strength that may be difficult for a client with impaired upper extremity strength. Instead, alternatives such as floss holders or interdental brushes could be suggested, but the initial focus should be on ensuring the client can effectively brush their teeth.

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Correct Answer is B

Explanation

A. Reduced chest width: While aging can lead to changes in the thoracic cavity, such as a decreased ability to expand the chest due to loss of elasticity in lung tissue, reduced chest width is not a primary musculoskeletal change associated with aging. The focus should be on musculoskeletal changes rather than respiratory or thoracic changes.

B. Decreased muscle mass: This is a significant and well-documented age-related change in the musculoskeletal system. Sarcopenia, or the loss of muscle mass and strength with aging, affects mobility and function in older adults. This change should be included in the presentation as it is relevant to the musculoskeletal system and impacts overall health and activity levels.

C. Thickened vertebral disks: With aging, vertebral disks typically degenerate and lose hydration, which can lead to thinning rather than thickening. This degeneration contributes to decreased height and may increase the risk of spinal issues, so thickening is not an accurate representation of age-related changes.

D. Increased force of isometric contraction: Aging generally leads to a decrease in muscle strength and function, including the force of isometric contractions. This decline can affect the ability to perform daily activities and maintain independence, making this statement inaccurate in the context of age-related changes.

A. "I will keep my walker at the end of my bed." B. "I will place an area rug at the entry of my bathroom." C. 1 will keep the fluorescent ceiling light in my room at night." D. "I will place a bath seat in my shower to use when I bathe."

Correct Answer is D

Explanation

A. "I will keep my walker at the end of my bed.": Storing a walker at the end of the bed may not be the safest option. The walker should be kept within easy reach to ensure the client can access it promptly when getting up, reducing the risk of falls.

B. "I will place an area rug at the entry of my bathroom.": Placing an area rug in a high-traffic area like the bathroom can create a tripping hazard, increasing the risk of falls. It is important to keep walking paths clear and free from obstacles to ensure safety.

C. "I will keep the fluorescent ceiling light in my room at night.": While having adequate lighting is important, keeping the light on at night may not address the need for easy access to light sources. The client should consider using nightlights or ensuring that light switches are easily accessible to avoid navigating in the dark.

D. "I will place a bath seat in my shower to use when I bathe.": This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower. This reflects the client's awareness of their needs related to fall prevention.

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