An adult client is admitted with AIDS and oral Candide albicans manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to assist the client. Which instruction should the nurse provide to the UAP?
Offer the client mouthwash for thorough cleansing after brushing teeth.
Assist with personal case, but leave oral care for the nurse to complete.
Provide a soft-bristled toothbrush for the client to use during oral care.
Wear sterile gloves when cleansing any areas of infected mucosa.
The Correct Answer is C
C. In the case of oral candidiasis, using a toothbrush with soft bristles is essential to prevent further irritation and damage to the already compromised oral mucosa.
A. Offering the client mouthwash for thorough cleansing after brushing teeth might not be appropriate. Many commercial mouthwashes contain alcohol, which can further irritate the oral mucosa and exacerbate the symptoms of oral candidiasis.
B. Assisting with personal care but leaving oral care for the nurse to complete is not the best option. Oral care is an essential aspect of hygiene, especially for someone with oral candidiasis.
D. Oral candidiasis is a fungal infection that is not typically transmitted through contact,
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["38"]
Explanation
Drop rate (gtt/min) = Volume to be infused (mL)/ Time of infusion (minutes) × Drop factor (gtt/mL)
Given:
Volume to be infused (V) = 75 mL Time of infusion (T) = 30 minutes Drop factor = 15 gtt/mL
Using the formula:
Drop rate (gtt/min)= [75/30]*15 Drop rate (gtt/min)=2.5×15
Drop rate (gtt/min)=37.5
Rounding to the nearest whole number, the nurse should regulate the IV to deliver approximately 38 gtt/minute.
Correct Answer is A
Explanation
A. Increasing oral fluid intake can help thin respiratory secretions, making them easier to expectorate. This can be particularly beneficial for a client experiencing thickened, tenacious mucous associated with asthma and bronchitis.
B. Avoiding crowded enclosed areas can reduce the risk of exposure to respiratory pathogens but it may not directly address the client's current symptoms of shortness of breath and productive cough.
C. Monitoring medication side effects does not directly address the client's current symptoms of shortness of breath and productive cough.
D. Addressing anxiety is important for overall well-being but it may not directly address the underlying respiratory symptoms or promote effective airway clearance.
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