Question 1

A patient using carbamide peroxide (Gly-Oxide)to treat multiple canker sores develops tissue irritation and black hairy tongue.The patient asks the nurse what can be done to soothe the pain.The nurse will first encourage use of:

A) Milk of Magnesia.
B) viscous lidocaine 2%.
C) Salivart.
D) saline rinses.

saline rinses.

Accepted Answer

Saline rinses can help soothe the pain and promote healing of canker sores, while also helping to reduce the symptoms of black hairy tongue. Milk of Magnesia can also be effective in treating canker sores but may not help with black hairy tongue. Viscous lidocaine 2% can provide temporary pain relief but should only be used under the guidance of a healthcare provider as it can be harmful if swallowed or used in excess. Salivart is a product used to relieve dry mouth and is not indicated for the treatment of canker sores or black hairy tongue.

Question 2

Which condition is treated by saliva substitutes?&#10;A) Caries&#10;B) Mucositis&#10;C) Xerostomia&#10;D) Halitosis

Accepted Answer

Saliva substitutes are used to treat xerostomia, which is a condition of dry mouth caused by the decrease in saliva production.

Question 3

Which infection is often called the &#34;disease of the diseased&#34; because it appears in debilitated patients?&#10;A) Aspergillosis&#10;B) Candidiasis&#10;C) Trichomoniasis&#10;D) Brucellosis

Accepted Answer

Candidiasis is often called the "disease of the diseased" because it commonly appears in debilitated patients with weakened immune systems, such as those with HIV/AIDS, cancer, or diabetes. Aspergillosis is a fungal infection that is particularly dangerous for people with weakened immune systems as well, but it is not commonly referred to as the "disease of the diseased." Trichomoniasis is a sexually transmitted infection caused by a protozoan parasite and is not typically associated with debilitated patients. Brucellosis is a bacterial infection that can affect both animals and humans, but is not commonly associated with debilitation in infected individuals.

Question 4

A patient with chronic obstructive pulmonary disease (COPD)uses a corticosteroid inhaler bid.Which adverse effect is associated with this medication?&#10;A) Mucositis&#10;B) Plaque&#10;C) Xerostomia&#10;D) Candidiasis

Accepted Answer

Corticosteroid inhalers can increase the risk of oral candidiasis (thrush). This is because the medication can suppress the immune system in the mouth, allowing the yeast to overgrow. It is important for patients using corticosteroid inhalers to rinse their mouth with water or mouthwash after each use to help prevent candidiasis.

Question 5

The nurse is assisting with care of a patient on chemotherapy with severe mucositis.The patient reports mucous membrane pain level to be "8" on the pain scale.The priority nursing diagnosis for this patient is:

A) altered nutrition: less than body requirements.
B) risk for aspiration.
C) fluid volume deficit.
D) pain.

Accepted Answer

The priority nursing diagnosis for this patient is pain, as the patient reports severe mucous membrane pain level of "8" on the pain scale. Pain management is essential to improve patient comfort and help the patient cope with the disease and treatment. Altered nutrition, risk for aspiration, and fluid volume deficit are important nursing diagnoses for patients with mucositis, but pain management takes precedence over these diagnoses.

Question 6

Which assessment information is pertinent to oral health? (Select all that apply.)&#10;A) Medication history&#10;B) Dental history,visit frequency&#10;C) Presence of halitosis&#10;D) Amount of saliva present&#10;E) Bowel sounds

Accepted Answer

Medication history is relevant because some medications can affect oral health, such as causing dry mouth. Dental history and visit frequency provide insight into the patient's oral hygiene practices and potential issues. The presence of halitosis (bad breath) can indicate oral health problems, such as gum disease or tooth decay. The amount of saliva present is important because saliva helps protect teeth from decay and can indicate issues like dry mouth, which affects oral health. Bowel sounds are not directly related to oral health.

Question 7

Which medication helps prevent or reduce mucositis in patients undergoing chemotherapy or radiation treatment?&#10;A) Amlexanox paste (Aphthasol)&#10;B) Palifermin (Kepivance)&#10;C) Docosanol (Abreva)&#10;D) Nystatin (Mycostatin)

Accepted Answer

Palifermin (Kepivance) is a medication that helps prevent or reduce mucositis in patients undergoing chemotherapy or radiation treatment by stimulating the growth and repair of cells in the mouth and throat. Amlexanox paste (Aphthasol) is used to treat aphthous ulcers (canker sores) and not mucositis. Docosanol (Abreva) is an over-the-counter medication used to treat cold sores and not mucositis. Nystatin (Mycostatin) is an antifungal medication used to treat fungal infections and not mucositis.

Question 8

A patient who is undergoing bone marrow transplantation has developed severe mucositis.Which treatment option(s)may promote comfort? (Select all that apply.)&#10;A) 2% viscous lidocaine (Xylocaine)before meals&#10;B) Acetylcysteine (Mucomyst)therapy as needed&#10;C) Commercially prepared mouthwashes&#10;D) Docosanol (Abreva)therapy&#10;E) Milk of Magnesia mouth rinses

Accepted Answer

- 2% viscous lidocaine can provide pain relief by numbing the mucous membranes affected by mucositis.
- Milk of Magnesia can help soothe the sore tissue and promote healing by neutralizing acid in the mouth.

Question 9

Which local anesthetic is used for inflammation of oral mucous membranes?&#10;A) Chlorhexidine (Peridex)&#10;B) 2% viscous lidocaine&#10;C) Nystatin (Mycostatin)&#10;D) Hydrogen peroxide

Accepted Answer

2% viscous lidocaine is the local anesthetic of choice for inflammation of oral mucous membranes. It can provide temporary relief of pain and discomfort. Chlorhexidine is an antiseptic and may help with inflammation to some extent, but it is not a local anesthetic. Nystatin is an antifungal medication and has no role in treating inflammation. Hydrogen peroxide may actually worsen inflammation and is not recommended for use in the oral cavity.

Question 10

What will the nurse include when educating a 12-year-old patient about care of a cold sore? (Select all that apply.)&#10;A) &#34;Keep the cold sore clean with mild soap.&#34;&#10;B) &#34;Use an astringent to assist in drying the cold sore and promote rapid healing.&#34;&#10;C) &#34;Keep the cold sore moist to prevent cracking.&#34;&#10;D) &#34;Note signs of infection,including the presence of pus.Contact the healthcare provider if this occurs.&#34;&#10;E) &#34;Oral analgesics may help alleviate pain.&#34;

Accepted Answer

Cold sores should be kept clean with mild soap (A) and moist to prevent cracking (C). It's important to monitor for signs of infection, such as pus, and contact a healthcare provider if these occur (D). Oral analgesics can help alleviate pain associated with cold sores (E). Using an astringent (B) is not typically recommended as it can irritate the sore.

Question 11

What is the most common cause of most tooth,gum,and periodontal disease?&#10;A) Sugar&#10;B) Halitosis&#10;C) Plaque&#10;D) Smoking

Accepted Answer

The answer of What is the most common cause of...

Question 12

Which instruction by the nurse is most important when educating a patient about using viscous lidocaine (Xylocaine)for mucositis?&#10;A) &#34;Cleanse the oral cavity after using.&#34;&#10;B) &#34;This medication can be used as a gargle.&#34;&#10;C) &#34;After using,wait for 30 minutes before eating.&#34;&#10;D) &#34;Your sense of taste will be diminished.&#34;

Accepted Answer

The answer of Which instruction by the nurse is most...

Question 13

Which information will the nurse include when teaching a patient about cold sores?&#10;A) Use of drying agents prevents the spread of secretions.&#10;B) Erupted lesions are not contagious.&#10;C) Eruptions are related to breaks in personal hygiene.&#10;D) Pus-filled lesions indicate a secondary bacterial infection.

Accepted Answer

The answer of Which information will the nurse include when...

Question 14

What is the primary pharmacologic therapy for Candida albicans?&#10;A) Steroids&#10;B) Antifungal agents&#10;C) Topical anesthetics&#10;D) Topical anti-inflammatory agents

Accepted Answer

The answer of What is the primary pharmacologic therapy for...

Question 15

A patient is being treated with topical amlexanox paste 5% (Zilactin).Which statement by the patient indicates a knowledge deficit?&#10;A) &#34;This medicine will help control discomfort.&#34;&#10;B) &#34;I will apply the paste before meals.&#34;&#10;C) &#34;The paste will be applied to each lesion.&#34;&#10;D) &#34;Healing will be promoted.&#34;

Accepted Answer

The answer of A patient is being treated with topical...

Question 16

The nurse is assessing a patient's mouth and notes white,milk curd-appearing plaques attached to the oral mucosa.Which condition is present?&#10;A) Thrush&#10;B) Canker sores&#10;C) Cold sores&#10;D) Mucositis

Accepted Answer

The answer of The nurse is assessing a patient's mouth...

Deck 31: Drugs Used to Treat Oral Disorders