The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation?
Leaving even slightly crooked teeth will lead to more cavities later in life.
Uncorrected malocclusions lead to infection and ultimately tooth loss.
This could have a lasting effect on his future to include everything from dating to hiring.
Even slight malocclusions make chewing and jaw function less efficient.
The Correct Answer is D
Choice A reason: Slightly crooked teeth may complicate oral hygiene but are not a primary cause of cavities, which depend more on brushing and diet. Malocclusions affect chewing efficiency, making this less accurate and incorrect compared to the functional impact of misaligned teeth noted during the assessment.
Choice B reason: Malocclusions do not directly cause infections or tooth loss unless severe and untreated. Slight cross-over primarily impacts chewing and jaw function, not infection risk, making this exaggerated and incorrect for the primary reason to seek orthodontic consultation for the teenager’s teeth.
Choice C reason: Social impacts like dating or hiring are speculative and not the primary clinical concern for slight malocclusions. Chewing and jaw efficiency are direct functional issues, making this psychosocial focus less relevant and incorrect for the orthodontic referral rationale in this clinical scenario.
Choice D reason: Slight malocclusions, like crossed front teeth, can impair chewing and jaw function, leading to inefficient mastication or strain. This functional concern justifies orthodontic evaluation, aligning with dental health principles, making it the correct reason to recommend seeing an orthodontist for the teenager.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Placing the infant on the back post-pyloromyotomy risks aspiration during anesthesia recovery, as vomiting is common with pyloric stenosis. Side-lying positioning ensures airway protection, making this unsafe and incorrect for managing the infant’s recovery period effectively after this surgical procedure.
Choice B reason: Positioning the infant on their side with support prevents aspiration and maintains airway patency post-pyloromyotomy, addressing vomiting risks from pyloric stenosis. This aligns with postoperative pediatric nursing standards, making it the most appropriate position during anesthesia recovery for the infant.
Choice C reason: Laying the infant on the stomach is unsafe post-surgery, increasing aspiration and pressure on the surgical site. Side-lying positioning protects the airway and incision, making this incorrect for the infant’s recovery period following pyloromyotomy for pyloric stenosis in the hospital setting.
Choice D reason: Allowing parents to hold the infant may comfort but risks disrupting surgical recovery or airway management during anesthesia effects. Side-lying positioning ensures safety, making this less controlled and incorrect for the immediate postoperative period in this surgical context for the infant.
Correct Answer is D
Explanation
Choice A reason: Increasing protein calories doesn’t address malabsorption causing constipation and diarrhea in cystic fibrosis. Pancreatic enzymes improve nutrient absorption, making this irrelevant and incorrect compared to the need to correct digestive issues due to enzyme deficiency in the child’s dietary management.
Choice B reason: Saturated fat doesn’t resolve malabsorption-related constipation and diarrhea in cystic fibrosis and may worsen symptoms. Pancreatic enzymes correct enzyme deficiency, making this inappropriate and incorrect compared to the dietary adjustment needed to manage the child’s gastrointestinal symptoms effectively.
Choice C reason: Iodized salt supports hydration in cystic fibrosis but doesn’t address malabsorption causing diarrhea and constipation. Pancreatic enzymes target digestive issues, making this incorrect, as it fails to correct the underlying enzyme deficiency responsible for the child’s gastrointestinal symptoms.
Choice D reason: Pancreatic enzymes improve fat and nutrient absorption in cystic fibrosis, reducing constipation and diarrhea due to malabsorption. This aligns with pediatric cystic fibrosis management, making it the correct substance to increase in the child’s diet to address the reported gastrointestinal symptoms.
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