Author Question: The nurse is caring for several clients on a medical unit in the hospital. Which client does the ... (Read 16 times)

BrownTown3 · **on:** Jul 23, 2018

The nurse is caring for several clients on a medical unit in the hospital. Which client does the nurse recognize as being at greatest risk of acquiring an oral Candida infection?

1. The client with braces
2. The client who uses smokeless tobacco
3. The client with sleep apnea
4. The client using a steroid inhaler for asthma

Question 2

The nurse correctly identifies that the client with which disorder is at greatest risk of acquiring a fungal infection of the nail?

1. The client with arthritis
2. The client with diabetes
3. The client with gallbladder disease
4. The client with gout

komodo7 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: The client with braces does not have an increased risk of Candida. These clients typically maintain better oral hygiene than do other patients, actually decreasing their risk.
Rationale 2: This client is at risk for oral cancer, not for a fungal infection.
Rationale 3: Mouth breathing does not increase the risk of fungal infection.
Rationale 4: Clients taking inhaled corticosteroids experience local immunosuppression in the oral cavity.
Global Rationale: Clients taking inhaled corticosteroids experience local immunosuppression in the oral cavity. The client with braces does not have an increased risk of Candida. These clients typically maintain better oral hygiene than do other patients, actually decreasing their risk. Mouth breathing and use of smokeless tobacco do not increase the risk of fungal infection.

Answer to Question 2

Correct Answer: 2
Rationale 1: The client with arthritis is at risk for nodules, but not for fungal nail infections.
Rationale 2: The client with diabetes has a 1-in-4 chance of developing a fungal infection of the nail due to poor circulation.
Rationale 3: Clients with gallbladder disease are not at increased risk of fungal infections of the nails.
Rationale 4: Clients with gout are not at greater risk for fungal infections of the nails.
Global Rationale: The client with diabetes has a 1-in-4 chance of developing a fungal infection of the nail due to poor circulation. The client with arthritis is at risk for nodules, but not for fungal nail infections. Clients with gallbladder disease and gout are not at increased risk of fungal infections of the nails.