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?
Use a washcloth to clean the denture surfaces.
Wipe dentures before storing them in a dry container at night.
Floss dentures as part of daily cleaning.
Wrap gloved fingers with gauze to remove dentures.
The Correct Answer is B
Choice A rationale:
Using a washcloth to clean denture surfaces is not the recommended method as it can lead to scratches on the dentures, making them more susceptible to bacterial growth and staining.
Choice B rationale:
Wiping dentures before storing them in a dry container at night is the correct choice. This practice helps remove debris and bacteria, preventing them from accumulating overnight. Storing dentures in a dry container helps maintain their shape and prevents the growth of microorganisms that thrive in moist environments.
Choice C rationale:
Flossing dentures is not necessary and may damage or distort them. Unlike natural teeth, dentures do not have interdental spaces that require flossing.
Choice D rationale:
Wrapping gloved fingers with gauze to remove dentures is not the best practice, as it may cause damage to the dentures and also increases the risk of contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Pudding is a suitable choice for a client with dysphagia requiring a level 1 dysphagia diet. Level 1 dysphagia diet consists of pureed, cohesive, and pudding-like foods that are easy to swallow and safe for individuals with swallowing difficulties. Pudding's consistency aligns with this requirement, making it a safe option for the client.
Choice B rationale:
Milk is not an appropriate choice for a level 1 dysphagia diet. Milk is a thin liquid that poses a risk of aspiration for individuals with dysphagia. It does not meet the consistency requirements for safe consumption in this case.
Choice C rationale:
Chicken noodle soup is not suitable for a level 1 dysphagia diet. The soup contains solid ingredients such as noodles and chicken pieces, which can be difficult for individuals with dysphagia to swallow safely. It is important to avoid foods with mixed textures for such clients.
Choice D rationale:
Apple juice is also not appropriate for a level 1 dysphagia diet. Like milk, apple juice is a thin liquid that can increase the risk of aspiration for individuals with swallowing difficulties. It lacks the appropriate consistency for safe consumption by those with dysphagia.
Correct Answer is B
Explanation
Choice A rationale:
A temperature of 37.2°C (99°F) is within the normal range (approximately 36.5°C to 37.5°C or 97.7°F to 99.5°F) and does not specifically indicate fluid volume deficit. It's important to consider this value along with other findings.
Choice B rationale:
(Correct Choice) A pulse rate of 118/min is indicative of tachycardia, which can be a sign of fluid volume deficit. When the body is experiencing a decrease in fluid volume, the heart rate often increases as a compensatory mechanism to maintain adequate circulation. Tachycardia helps to pump a reduced blood volume more rapidly to vital organs.
Choice C rationale:
A blood pressure of 152/90 mm Hg is elevated but does not solely indicate a fluid volume deficit. While low blood pressure can be a sign of dehydration, high blood pressure does not necessarily correlate directly with fluid volume status.
Choice D rationale:
Central venous pressure (CVP) of 25 mm Hg is elevated. CVP reflects the pressure in the vena cava and right atrium, indicating the amount of blood returning to the heart. An elevated CVP might be seen in fluid volume excess or right-sided heart failure, not fluid volume deficit.
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