ATI Oral Care

A nurse is collecting data from a client who is receiving chemotherapy and reports pain and burning in his mouth. The nurse notes red and inflamed oral mucosa. Which of the following findings should the nurse document? Stomatitis Halitosis Gingivitis Glossitis

stomatitis

A nurse is reinforcing teaching with a family member of a client who is unconscious about how to provide oral care for the client. The nurse should identify which of the following statements as an indication that the family member understands the teaching? "I will use mineral oil to keep her lips moist." "I will cleanse her gums with a lemon-glycerin swab." "I will use my fingers to keep her mouth open." "I will rinse her mouth with an alcohol-free mouthwash."

"I will rinse her mouth with an alcohol-free mouthwash." The family member should use a rubber-tipped syringe and gently inject an alcohol-free mouthwash into each side of the client's mouth. The family member should ensure that all of the rinsing solution has drained out of the client's mouth to prevent aspiration.

A nurse is reviewing a client's medication administration record. The nurse should identify that which of the following medications places the client at risk for dry mouth? Digoxin Gabapentin Isosorbide dinitrate Ranitidine

Gabapentin MY ANSWER A client who takes gabapentin is at risk for dry mouth, increased appetite, nausea, and vomiting.

A nurse is caring for a client who is unconscious and requires oral hygiene. The nurse should place the client in which of the following positions? Dorsal recumbent Lateral Prone Trendelenburg

Lateral The nurse should position the client in a lateral or side-lying position with the head of the bed flat to facilitate drainage of mouth rinse and prevent aspiration.

A nurse is checking a client's oral cavity and observes an accumulation of foul matter. Which of the following findings should the nurse document? Tartar Sordes Periodontal disease Xerostomia

Sordes Sordes is the accumulation of foul matter—such as food, bacteria, and cells—that results from poor oral hygiene.