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:
Exophthalmos, or protrusion of the eyeballs, is not a typical finding in hypothyroidism. It is more commonly associated with hyperthyroidism, particularly Graves' disease, which is characterized by an overactive thyroid gland.

Choice b reason:
Photophobia, or light sensitivity, is not a common symptom of hypothyroidism. While it can be associated with other conditions, it is not directly related to the function of the thyroid gland.

Choice c reason:
Weight loss is typically not associated with hypothyroidism. In fact, individuals with hypothyroidism often experience weight gain due to a slowed metabolism, which is the opposite of weight loss.

Choice d reason:
Lethargy is a common symptom of hypothyroidism. The condition can lead to a decrease in thyroid hormone production, which can slow down the body's metabolism, resulting in feelings of fatigue, sluggishness, and lethargy.

A. Tachycardia. B. Diarrhea. C. Facial edema. D. Heat intolerance. E. The correct answer is c) Facial edema.

Correct Answer is C

Explanation

Choice A reason:
Tachycardia, or an abnormally rapid heart rate, is not a typical finding in myxedema. Myxedema is associated with hypothyroidism, which usually presents with bradycardia, or a slower than normal heart rate, due to the decreased metabolic demands on the body.
Choice B reason:
Diarrhea is not commonly associated with myxedema. Instead, patients with hypothyroidism and myxedema often experience constipation due to slowed gastrointestinal motility.
Choice C reason:
Facial edema, particularly around the eyes, is a classic sign of myxedema. Myxedema is a severe form of hypothyroidism that can cause mucopolysaccharide deposition in the skin, leading to non-pitting edema. This can be particularly noticeable in the face and periorbital area.
Choice D reason:
Heat intolerance is more commonly associated with hyperthyroidism, not hypothyroidism. Patients with myxedema typically have cold intolerance due to a decrease in basal metabolic rate and reduced heat production.

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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

A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

In which disease process should a nurse expect to see a patient with the presence of pitting edema?

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?

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?

The student nurse is reviewing different types of health history. Which client situation would require an Emergency health history?

The nurse working in an outpatient GI clinic is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?

A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?