A dentist informs the practical nurse (PN) that she has a family history of cancer and has increased the amount of dairy products in her diet to reduce the risk of gingivitis. How should the PN respond?

Suggest an increase in fruits and vegetables is more beneficial.

Encourage the client to get plenty of exercise as well as the dietary change.

Remind the client to make sure the dairy products are fortified with Vitamin D.

Provide written information about the warning signs of cancer.

Answer and Explanation

The Correct Answer is A

In this scenario, the dentist is increasing the amount of dairy products in her diet with the aim of reducing the risk of gingivitis due to her family history of cancer. However, the practical nurse (PN) should respond by suggesting that an increase in fruits and vegetables would be more beneficial.

Fruits and vegetables are rich in essential vitamins, minerals, and antioxidants, which can help support overall oral health and reduce the risk of gingivitis. They provide a wide range of nutrients that are important for maintaining healthy gums and teeth.

While dairy products can contribute to overall dental health due to their calcium content, they should not be solely relied upon as the primary means of preventing gingivitis or reducing the risk of cancer. A well- rounded and balanced diet, including plenty of fruits and vegetables, is essential for optimal oral health.

Options b, c, and d are not directly related to the dentist's concern about gingivitis and the increased consumption of dairy products. Encouraging exercise (option b) is generally beneficial for overall health, but it does not specifically address gingivitis. Reminding the client to ensure dairy products are fortified with vitamin D (option c) is not necessary in this context, as the focus is on preventing gingivitis rather than addressing vitamin D deficiency. Providing written information about the warning signs of cancer (option d) is not directly relevant to the dentist's current situation and concern about gingivitis.

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Correct Answer is A

Explanation

This is the correct answer, as it reﬂects the nurse's assessment of the injury and the appropriate action to take. The nurse should consider the mother's report of pain as a valid indicator of the severity of the injury, and should not dismiss or minimize it. The nurse should also observe the boy's arm and shoulder for any signs of fracture, dislocation, swelling, bruising, or deformity, and ask him to rate his pain on a scale of 0 to 10. The nurse should then decide whether to refer the boy to a physician or an emergency department for further evaluation and treatment.

A. Assess the client for nerve pain or paralysis. B. Ensure the client has minimal clutter in the room. C. Evaluate the client's neurological status after exercising. D. Monitor the client's blood cell laboratory values.

Correct Answer is B

Explanation

Immune thrombocytopenic purpura (ITP) is a condition characterized by low platelet levels in the blood, which can lead to an increased risk of bleeding and bruising. Patients with ITP are at risk of spontaneous bleeding, and any injury can be potentially serious.
Ensuring the client has minimal clutter in the room is essential to reduce the risk of accidental falls and injuries. Falls and bumps can lead to bruising or bleeding, which can be particularly problematic in individuals with low platelet counts.
Incorrect:
A. Assessing the client for nerve pain or paralysis is important in the overall care of the patient, but it may not directly address the prevention of injury in this situation.
C. Evaluating the client's neurological status after exercising is also essential for assessing their overall health and well-being but may not directly prevent injury.
D. Monitoring the client's blood cell laboratory values, including platelet levels, is crucial for managing ITP, adjusting treatment if needed, and ensuring the client's condition remains stable. However, while important, this action is not directly related to preventing immediate injury in the care facility.

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A dentist informs the practical nurse (PN) that she has a family history of cancer and has increased the amount of dairy products in her diet to reduce the risk of gingivitis. How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. The mother says the boy is in pain and needs medical help. The nurse should assess the injury and decide the appropriate action to take.

Correct Answer is A

Explanation

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

Correct Answer is B

Explanation

The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical dressing as seen in the picture. After reinforcing the dressing, which follow-up assessment is most important for the PN to implement?

A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

A new unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for an immobilized client who needs a complete bed bath. Which is the best way for the practical nurse (PN) to evaluate this UAP's performance?

The patient is being assisted to the bathroom for the first time. The recent experience caused a sudden guard and ended up at the hospital. The options for the practical course (PN) are:

The practical nurse (PN) hears an older resident of a long-term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

The practical nurse (PN) selects the ventrolateral site to administer an intramuscular (IM) injection to an adult. Identify the Injection site.

A client in the psychiatric unit's dayroom is becoming agitated, talking incessantly, and starting to yell and swear at the other clients. Which action should the practical nurse (PN) implement first?

The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM). Which finding is an early sign of hypoglycemia?