Assessing the patient for risks related to oral hygiene delivery, such as oral surgery or trauma, coagulation disorders, diabetes, or use of chemotherapeutic agents, is necessary before oral care begins to prevent possible complications. Raising the bed to a comfortable working height and positioning the patient are important steps to safely prepare the patient for oral care, but assessing for risk factors is more important. Providing privacy is not a safety measure.
Question 2
The nurse is preparing to provide oral care for a patient with known periodontitis. What would be an expected assessment finding in this patient?
Your Answer:
Pink gums
Rationale:
Periodontitis is a condition characterized by receding gumlines, inflammation, and gaps between the teeth. Pink gums are a normal, healthy finding. Cracking of the lips (cheilosis) and white or grey patches on the tongue, inside the cheek, or on the floor of the mouth (leukoplakia) are not features of periodontitis.
Question 3
The nurse is assessing an adult patient’s current oral hygiene practices. The patient says, “I brush my teeth once in the morning and before going to bed” and demonstrates holding the toothbrush at a 90-degree angle when brushing. The patient flosses the teeth after brushing in the evening and visits the dentist yearly. Which practice does the nurse need to instruct the patient to modify?
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