A nurse is assessing a client who wears partial dentures and reports mouth pain. Which of the following actions should the nurse take?

Provide the client with an alcohol-based mouthwash.

Instruct the client to brush their remaining teeth with a firm toothbrush.

Advise the client to rinse their mouth and dentures after each meal.

Swab the client's mouth with lemon-glycerin sponges at bedtime.

Answer and Explanation

The Correct Answer is C

A. Provide the client with an alcohol-based mouthwash: Alcohol-based mouthwashes can cause oral mucosa dryness and irritation, worsening mouth pain. They are not recommended for clients with oral discomfort or partial dentures.

B. Instruct the client to brush their remaining teeth with a firm toothbrush: A firm toothbrush can damage gum tissue and increase discomfort, especially in a client already experiencing pain. A soft-bristled toothbrush is safer for maintaining oral hygiene without causing trauma.

C. Advise the client to rinse their mouth and dentures after each meal: Rinsing after meals removes food particles and prevents bacterial buildup, reducing irritation and risk of infection. This promotse oral health and comfort in clients with partial dentures.

D. Swab the client's mouth with lemon-glycerin sponges at bedtime: Lemon-glycerin swabs can dry out the mucous membranes and cause irritation. They are no longer recommended in oral care because they worsen discomfort rather than relieve it.

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Correct Answer is D

Explanation

A. 15°: This angle is used for intradermal injections, such as a tuberculin skin test, where the medication is deposited just under the epidermis. It would not allow the needle to reach the muscle layer, making it inappropriate for intramuscular administration.

B. 60°: An angle of 60° is not a standard technique for any specific injection type. At this angle, the medication would likely end up in the subcutaneous tissue instead of the muscle, leading to improper absorption and reduced effectiveness.

C. 45°: This angle is appropriate for subcutaneous injections, such as insulin, when a shorter needle is used or in thin clients. It does not penetrate deeply enough to reach the muscle tissue for intramuscular medication administration.

D. 90°: A 90° angle ensures the needle penetrates through the subcutaneous tissue and into the muscle, which is necessary for intramuscular injections. This angle allows the medication to be deposited directly into the muscle for proper absorption and therapeutic effect.

A. Dispose of the wasted portion of the opioid medication in the sharps box. B. Count the total amount of opioid medication remaining after removing the needed amount. C. Ask a second nurse to witness the discarding of unused opioid medication. D. Report opioid medication count discrepancies to the provider.

Correct Answer is C

Explanation

A. Dispose of the wasted portion of the opioid medication in the sharps box: Opioid medications should never be discarded in the sharps box because it does not ensure proper tracking or accountability. Controlled substances require a witnessed disposal process.

B. Count the total amount of opioid medication remaining after removing the needed amount: While tracking inventory is important, this step alone does not ensure compliance with controlled substance regulations or safe disposal practices.

C. Ask a second nurse to witness the discarding of unused opioid medication: Having a second nurse witness the disposal of any unused portion ensures accountability, prevents diversion, and complies with legal and institutional controlled substance policies.

D. Report opioid medication count discrepancies to the provider: Discrepancies should be reported to the charge nurse or pharmacy according to policy, not directly to the provider. Reporting is part of accountability but not the immediate action during administration and disposal.

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A nurse is assessing a client who wears partial dentures and reports mouth pain. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an intramuscular injection to a client. At which of the following angles should the nurse plan to insert the needle?

Correct Answer is D

Explanation

A nurse is preparing to administer an opioid medication to a client who is experiencing pain. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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