A nurse is providing preventative health care education material to a new client who chews tobacco. Which of the following statements should the nurse underline as an important reminder in the pamphlet that highlights oral health for this client?

Using a tartar and plaque-reducing mouthwash can decrease the incidence of caries.

As of 2020, the 5-year survival rate of oral cancer remains low at less than 50%.

Brushing and flossing your teeth decreases the incidence of cardiovascular disease.

Untreated caries can contribute to tooth loss and negatively impact a client's quality of life.

Answer and Explanation

The Correct Answer is D

A.   Using mouthwash may reduce tartar and plaque, but it does not address the severe risks associated with tobacco use, such as oral cancer.
B.   The 5-year survival rate for oral cancer is low, but it is not specifically tied to the year 2020 and should be emphasized in a broader context.
C.   Brushing and flossing are essential for oral health, but they do not directly relate to cardiovascular disease prevention.
D.   Tobacco use can significantly increase the risk of caries, tooth loss, and other oral health problems, negatively affecting the client's quality of life.

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Correct Answer is ["C","D","F","G"]

Explanation

A. Assuming the episode was a migraine and scheduling a follow-up is not appropriate. TIAs are serious warning signs of potential future strokes and require immediate attention and evaluation.
B. Discharging the patient immediately after symptoms resolve is not appropriate. Even though symptoms resolve, TIAs are medical emergencies, and further evaluation is necessary to reduce the risk of a full-blown stroke.
C. Initiating antiplatelet therapy, such as aspirin, is an appropriate action to reduce the risk of future strokes in patients who have had a TIA.
D. Ordering a CT scan of the head is appropriate to rule out an intracranial hemorrhage and other causes of the symptoms.

E. Starting anticoagulation therapy immediately without further evaluation is not recommended. The patient must be properly assessed before starting anticoagulation to determine the cause of the TIA and if anticoagulation is appropriate.
F. Conducting a carotid ultrasound is appropriate to assess for stenosis, which could be contributing to the TIA.
G. Referring the patient for lifestyle modifications, including smoking cessation and diet changes, is crucial to reduce future stroke risk. These interventions help prevent the recurrence of TIAs and strokes.

A. Recommending high-intensity wrist exercises to strengthen wrist muscles B. Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain C. Ergonomic adjustments to the patient's work area to minimize wrist strain D. Wrist splinting, especially at night, to keep the wrist in a neutral position E. Encouraging the use of a vibrating hand massager to alleviate symptoms F. Applying heat packs to the wrist to improve circulation and relieve symptoms G. Corticosteroid injections to decrease inflammation and swelling around the median nerve

Correct Answer is ["B","C","D","G"]

Explanation

A. High-intensity wrist exercises may aggravate symptoms and should generally be avoided in carpal tunnel syndrome.
B. NSAIDs are helpful in reducing inflammation and pain, providing symptomatic relief for carpal tunnel syndrome.
C. Ergonomic adjustments to the patient’s work area, such as adjusting chair height and keyboard
positioning, can help reduce strain on the wrist.
D. Wrist splinting, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
E. A vibrating hand massager could increase irritation to the median nerve and is not recommended.
F. Heat packs are not effective in treating carpal tunnel syndrome; cold therapy may help reduce inflammation.
G. Corticosteroid injections can help decrease inflammation and swelling around the median nerve, providing symptom relief.

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A nurse is providing preventative health care education material to a new client who chews tobacco. Which of the following statements should the nurse underline as an important reminder in the pamphlet that highlights oral health for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","D","F","G"]

Explanation

A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

Correct Answer is ["B","C","D","G"]

Explanation

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