A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?

Wipe dentures before storing them in a dry container at night.

Floss dentures as part of daily cleaning.

Use a washcloth to clean the denture surfaces.

Wrap gloved fingers with gauze to remove dentures.

Answer and Explanation

The Correct Answer is D

A) Wipe dentures before storing them in a dry container at night: This instruction is correct. Dentures should be cleaned before storage to remove any debris or food particles. Storing dentures in a dry container overnight helps prevent bacterial growth and maintains their shape.

B) Floss dentures as part of daily cleaning: Flossing dentures is not typically necessary, as they are not natural teeth with interdental spaces. Instead, dentures should be cleaned using a denture brush or soft-bristled toothbrush to remove plaque and debris.

C) Use a washcloth to clean the denture surfaces: While a washcloth can be used to clean the denture surfaces, it may not be as effective as using a denture brush or soft-bristled toothbrush specifically designed for cleaning dentures. These tools are better at removing plaque and debris without damaging the denture material.

D) Wrap gloved fingers with gauze to remove dentures: This instruction is incorrect. When removing dentures, it's essential to use both hands to grasp them firmly and gently rock them back and forth to release the seal. Using gloved fingers wrapped with gauze may not provide enough grip and could potentially damage the dentures or injure the gums.

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Correct Answer is B

Explanation

A) Oliguria, or decreased urine output, is a sign of fluid volume deficit rather than an indication that the treatment has been effective. In a client with fluid volume deficit, the kidneys conserve water to maintain fluid balance, leading to decreased urine output.

B) Elastic skin turgor is a reliable indicator of hydration status. When a client's fluid volume deficit is improving, their skin turgor returns to normal. Elastic skin turgor means that the skin quickly returns to its normal position after being pinched and released, indicating adequate hydration.

C) Tachycardia, or an increased heart rate, is a compensatory mechanism that the body uses to maintain cardiac output in response to fluid volume deficit. While tachycardia may initially be present in a client with fluid volume deficit, it is not an indication that treatment has been effective.

D) Dry mucous membranes are a manifestation of dehydration and fluid volume deficit. Moist mucous membranes indicate hydration status, and their dryness suggests dehydration. Dry mucous membranes are not indicative of effective treatment for fluid volume deficit.

A. Pepperoni pizza B. Strawberry yogurt C. Smoked salmon D. Cheddar cheese

Correct Answer is B

Explanation

Phenelzine belongs to a class of antidepressants known as monoamine oxidase inhibitors (MAOIs). MAOIs work by inhibiting the activity of the enzyme monoamine oxidase, which results in increased levels of certain neurotransmitters in the brain, such as serotonin, norepinephrine, and dopamine. However, MAOIs have a significant dietary restriction due to their interaction with tyramine-containing foods. Tyramine is a substance found in various foods and beverages and can lead to a sudden and dangerous increase in blood pressure when combined with MAOIs, resulting in a hypertensive crisis.

A) Pepperoni pizza: Pepperoni is a processed meat product that is high in tyramine. Additionally, pizza often contains aged cheeses, which are also rich in tyramine. Therefore, consuming pepperoni pizza while taking phenelzine poses a risk of hypertensive crisis due to the high tyramine content.

B) Strawberry yogurt: Yogurt, particularly varieties without added fruit or flavorings, is generally considered low in tyramine and is thus a safer option for individuals taking MAOIs. Additionally, fresh strawberries are also low in tyramine, making strawberry yogurt a suitable choice for someone on phenelzine therapy.

C) Smoked salmon: Smoked or cured fish, such as smoked salmon, is another food high in tyramine. Therefore, it is not recommended for individuals taking MAOIs due to the risk of hypertensive crisis.

D) Cheddar cheese: Aged cheeses like cheddar contain high levels of tyramine and should be avoided by individuals on MAOIs. Consuming cheddar cheese while taking phenelzine increases the risk of a hypertensive crisis.

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A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?

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