A nurse prepares an educational session on the importance of oral hygiene. Which teaching tip should be included in the section about preventing gingivitis?

A firm toothbrush is most effective in plaque removal.

Brushing more than twice per day irritates the gums.

Ensure that dental restorations fit well.

Avoid flossing if there is bleeding at the gumline.

Answer and Explanation

The Correct Answer is C

Choice a reason:
A firm toothbrush is not recommended for plaque removal as it can damage the gums and tooth enamel. Soft-bristled toothbrushes are preferred because they are effective at removing plaque while being gentle on the gums and enamel.

Choice b reason:
Brushing more than twice per day does not necessarily irritate the gums unless done with improper technique or with a hard-bristled toothbrush. It is important to brush gently with a soft-bristled toothbrush and to use fluoride toothpaste to maintain oral hygiene and prevent gingivitis.

Choice c reason:
Ensuring that dental restorations such as fillings and crowns fit well is crucial in preventing gingivitis. Poorly fitted restorations can trap food particles and bacteria, leading to plaque buildup and gum inflammation. Regular dental check-ups can help ensure that restorations remain intact and do not contribute to gingivitis.

Choice d reason:
Flossing should not be avoided even if there is bleeding at the gumline. Bleeding can be a sign of gingivitis, and flossing can help remove the plaque and bacteria causing the inflammation. If bleeding persists, it is important to consult a dentist.

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Correct Answer is D

Explanation

Choice a reason:
Pigeon Chest, or pectus carinatum, is a condition where the breastbone is pushed outward, and the chest appears to protrude. It is not typically associated with a barrel-shaped chest, which is characterized by a rounded and bulging appearance.

Choice b reason:
Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus. While it can cause chest expansion, it does not lead to a barrel-shaped chest. The barrel-shaped chest is more indicative of a chronic condition rather than an acute infection like pneumonia.

Choice c reason:
Funnel Chest, or pectus excavatum, is a condition where the breastbone is sunken into the chest. Unlike a barrel-shaped chest, funnel chest gives the chest a depressed appearance.

Choice d reason:
COPD, or Chronic Obstructive Pulmonary Disease, is commonly associated with a barrel-shaped chest. This shape results from the chronic hyperinflation of the lungs due to obstructive lung disease, which causes the rib cage to remain expanded.

A. "I should get a longer cord for my telephone." B. "I should place a throw rug over electrical cords." C. "It is a good idea to use the handrails in the bathroom." D. "I should use chairs without armrests."

Correct Answer is C

Explanation

Choice a reason:
Getting a longer cord for the telephone may reduce the risk of tripping over a short cord but could potentially introduce new tripping hazards if not managed properly. It's important to keep cords secured and out of walkways to prevent falls.

Choice b reason:
Placing a throw rug over electrical cords is not advisable as it can create a tripping hazard. Rugs should be secured with non-slip backing and kept away from high-traffic areas to prevent falls.

Choice c reason:
Using handrails in the bathroom is a recommended safety measure to prevent falls. Bathrooms can be slippery, and handrails provide support and stability for residents when moving around in this area.

Choice d reason:
Using chairs without armrests is not a recommended practice for fall prevention. Chairs with armrests can aid residents in safely sitting down and standing up, providing support and reducing the risk of falls.

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A nurse prepares an educational session on the importance of oral hygiene. Which teaching tip should be included in the section about preventing gingivitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While examining a client, the nurse observes the client's chest to be barrel-shaped. The nurse would interpret this as indicating which of the following?

Correct Answer is D

Explanation

A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

Correct Answer is C

Explanation

The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?

A client with a history of COPD is being assessed. When the nurse percusses the client's chest, which characteristic sound is expected?

During a comprehensive health history, a client reports coming into the hospital because he "feels like an elephant is sitting on his chest." The nurse will document this information in which of the following sections?

A client has arrived at the clinic for a routine physical examination. Prior to assessing the client's blood pressure, what should the nurse do?

The nurse working in an ophthalmology clinic is preparing to assess a patient's near vision. Which piece of equipment would the nurse use for this assessment?

When preparing to examine a client's sclera and conjunctiva during an eye examination, the nurse should instruct the client to move both eyes to look in which direction?

The nurse is preparing to percuss a client's anterior chest area. Which approach will the nurse use for this assessment?

While auscultating a client's 1st and 2nd intercostal spaces, close to the sternal body, the nurse would document these normal breath sounds as which of the following?