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A nurse is collecting data about a client’s oral care. The client wears dentures and reports having mouth sores.
The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores?

Rinses dentures after meals.

Soaks dentures in water after removal.

Applies an adhesive to seal dentures in place.

Wears dentures while sleeping at night.

Answer and Explanation

The Correct Answer is D

It can also increase the risk of denture stomatitis and pneumonia.

Dentures should be removed overnight and soaked in a denture-cleansing solution.

Choice A is wrong because rinsing dentures after meals can help remove food debris and prevent plaque buildup.

Choice B is wrong because soaking dentures in water after removal can prevent them from drying out and losing their shape.

However, water alone is not enough to disinfect dentures, so a denturecleansing solution should also be used.

Choice C is wrong because applying an adhesive to seal dentures in place can improve the fit and comfort of dentures.

However, adhesive should not be used as a substitute for poorly fitting dentures, and any excess adhesive should be removed by brushing.

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Correct Answer is C

Explanation

According to the CDC1, chlorine bleach is an effective disinfectant for killing C. difficile spores on environmental surfaces.

It should be used in a 1:10 dilution of household bleach and water, freshly mixed daily.

Chlorine bleach can also kill other pathogens that may be present in the room of a client with C. difficile infection.

Choice A is wrong because chlorhexidine is not effective against C. difficile spores.

Chlorhexidine is an antiseptic that can be used for hand hygiene and surgical asepsis, but it does not kill spores.

Choice B is wrong because isopropyl alcohol is also not effective against C. difficile spores.

Alcohol-based hand sanitizers are not sufficient for preventing the spread of C. difficile, and soap and water should be used instead.

Choice D is wrong because triclosan is a type of antibacterial agent that is commonly found in some consumer products, such as soap and toothpaste. However, triclosan has no activity against C. difficile spores.

Triclosan may also contribute to antibiotic resistance and has potential adverse effects on human health and the environment.

A. Autonomy B. Fidelity. C. Veracity. D. Beneficence.

Correct Answer is D

Explanation

Beneficence is the ethical principle of doing good and acting in the best interest of the patient. By administering pain medication prior to turning the client, the nurse is reducing the client’s suffering and promoting their well-being.

Choice A. Autonomy is wrong because autonomy is the ethical principle of respecting the patient’s right to self-determination and decision-making. The nurse is not asking for the client’s consent or preference before giving pain medication or turning them.

Choice B. Fidelity is wrong because fidelity is the ethical principle of being faithful and loyal to the patient and honoring one’s commitments and promises. The nurse is not demonstrating fidelity by giving pain medication or turning the client.

Choice C. Veracity is wrong because veracity is the ethical principle of telling the truth and being honest with the patient. The nurse is not providing any information or education to the client before giving pain medication or turning them.

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A nurse is collecting data about a client’s oral care. The client wears dentures and reports having mouth sores. The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores?

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Correct Answer is D

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A nurse is collecting data about a client’s oral care. The client wears dentures and reports having mouth sores.
The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores?