Which actions will the nurse include when performing a complete ...

[craiczarry]

Which actions will the nurse include when performing a complete oral exam on an older cooperative patient?
 
  1. Inform the patient that halitosis is considered normal.
  2. Do not wear gloves while examining the tongue including the posterior surface.
  3. Palpate the head and neck lymph nodes and assesses for tenderness and enlargement.
  4. Tell the patient that white patches on the surface of the oral mucosa is expected with aging.

Question 2

The nurse is reviewing an older patient's prescribed medications and realizes the patient is at risk for xerostomia. Which medications would increase the patient's risk for this disorder? Standard Text: Select all that apply.
 
  1. Diuretics
  2. Antibiotics
  3. Antihistamines
  4. Anticoagulants
  5. Tricyclic antidepressants

[reversalruiz]

Answer to Question 1

3
Rationale: Halitosis is not a normal finding and may be associated with xerostomia or infection of the teeth or gums.

Answer to Question 2

1,3,5
Rationale: The most common cause of xerostomia is medication with the most common offenders to include diuretics.

[craiczarry]

Excellent

[LVPMS]

Gracias!