The student nurse caring for a 56-year-old patient with acquired ...

[cherise1989]

The student nurse caring for a 56-year-old patient with acquired immunodeficiency syndrome (AIDS). While providing oral care for the patient the student nurse notes that the gums are red-dened and bleed easily.
 
  The student nurse identifies this as a sign of what condition? a. Dental caries
  b. Gingivitis
  c. Oral herpes
  d. Thrush

Question 2

A client is admitted to a psychiatric treatment unit with psychosis. Which of the following is the most appropriate diagnosis for this client?
 
  A) Dressing/grooming self-care deficit
  B) Disturbed thought process
  C) Risk for confusion
  D) Risk for imbalanced nutrition

[lkanara2]

Answer to Question 1

B
Gingivitis is inflammation of the gums, and dental caries is tooth decay produced by interaction of food with bacteria that forms plaque. Thrush is a yeast infection in the mouth and oral herpes are open sores in the mouth around the mucous membrane.

Answer to Question 2

B
Feedback:
A client with psychosis is unable to recognize certain aspects of reality. The client may also experience hallucinations and delusions. Therefore, disturbed thought process is the most appropriate nursing diagnosis for such a client. The client may be at risk for confusion, have difficulty in dressing and grooming, and may not eat properly; however, the priority is the thought process because it is the main reason for all other symptoms.