A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?
Wipe dentures before storing them in a dry container at night.
Floss dentures as part of daily cleaning.
Use a washcloth to clean the denture surfaces.
Wrap gloved fingers with gauze to remove dentures.
The Correct Answer is D
A) Wipe dentures before storing them in a dry container at night: This instruction is correct. Dentures should be cleaned before storage to remove any debris or food particles. Storing dentures in a dry container overnight helps prevent bacterial growth and maintains their shape.
B) Floss dentures as part of daily cleaning: Flossing dentures is not typically necessary, as they are not natural teeth with interdental spaces. Instead, dentures should be cleaned using a denture brush or soft-bristled toothbrush to remove plaque and debris.
C) Use a washcloth to clean the denture surfaces: While a washcloth can be used to clean the denture surfaces, it may not be as effective as using a denture brush or soft-bristled toothbrush specifically designed for cleaning dentures. These tools are better at removing plaque and debris without damaging the denture material.
D) Wrap gloved fingers with gauze to remove dentures: This instruction is incorrect. When removing dentures, it's essential to use both hands to grasp them firmly and gently rock them back and forth to release the seal. Using gloved fingers wrapped with gauze may not provide enough grip and could potentially damage the dentures or injure the gums.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Magnesium levels are important to monitor in clients receiving total parenteral nutrition (TPN), but they are not the priority for confirming adequate nutrition. Magnesium levels can be affected by various factors, including renal function and medications, but they do not provide a direct assessment of nutritional status. Prealbumin and other markers are more specific indicators of nutritional adequacy.
B) Folic acid levels may be important to monitor in clients receiving TPN, especially if they have a known deficiency or risk factors for deficiency. However, folic acid levels alone are not the priority for confirming adequate nutrition. Other markers, such as prealbumin, provide a more comprehensive assessment of nutritional status.
C) Prealbumin (also known as transthyretin) is a key marker used to assess nutritional status, especially in clients receiving TPN. Prealbumin has a relatively short half-life and reflects recent changes in protein intake. Monitoring prealbumin levels can help determine whether the client is receiving adequate nutrition and whether adjustments to the TPN formulation are necessary.
D) Transferrin levels can be useful in assessing iron status and nutritional adequacy, but they are not the priority for confirming adequate nutrition in a client receiving TPN. Transferrin levels may be influenced by factors other than nutrition, such as inflammation and liver function. Prealbumin and other markers provide more specific information about nutritional status in this context.
Correct Answer is B
Explanation
A) Change to a low-calorie formula if diarrhea persists: Switching to a low-calorie formula is not the initial action for managing diarrhea in a client receiving continuous enteral nutrition. Diarrhea in these clients can result from various factors, including formula intolerance, medication side effects, or infections. Before changing the formula, the nurse should assess for potential causes of diarrhea and implement appropriate interventions.
B) Warm the formula to room temperature before infusing: This is the correct action. Cold formula may cause cramping and diarrhea in some clients. Warming the formula to room temperature before infusion can help prevent gastrointestinal discomfort and reduce the risk of diarrhea. However, the nurse should ensure that the formula is not heated excessively, as excessive heat can degrade certain nutrients.
C) Replace the extension tubing every 48 hours: While replacing the extension tubing regularly is important for preventing bacterial contamination and maintaining the integrity of the enteral feeding system, it is not directly related to managing diarrhea in a client receiving continuous enteral nutrition.
D) Increase the rate of infusion: Increasing the rate of infusion is not typically indicated for managing diarrhea in clients receiving enteral nutrition. In fact, increasing the infusion rate may exacerbate diarrhea and lead to fluid and electrolyte imbalances. The nurse should monitor the client's fluid balance closely and adjust the infusion rate based on the client's clinical status and tolerance.
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