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NURS 247 Exam 4 Oral Hygiene Questions
With Complete Solutions
what is periodontal disease correct answer: a chronic inflammatory disease that may affect the whole system body what is biofilm correct answer: bacteria in plaque why is biofilm bad and what can it cause correct answer: it builds up on teeth and surrounding tissue and become inflamed which creates pockets around teeth where bone dissolves what type of mouth sore is associated with severe forms of periodontal disease correct answer: abscesses why is it important to do oral assessments on all patients correct answer: open wounds created by periodontal disease create a pathway that may systematically affect every other area in the body is biofilm considered a pathogen correct answer: yes what does having periodontal disease put a pt at an increased risk for correct answer: aspiration, osteoporosis, exacerbations of COPD, contracting pneumonia, difficulty controlling sugar levels in diabetics pts with periodontal disease are 2-4x more likely to have correct answer: stroke or heart disease
what is the oral systemic link correct answer: poor oral hygiene may allow bacteria in biofilm to enter airways and the bloodstream causing an impact on pts general health who is oral care especially important for and why correct answer: pts on ventilators bc of VAP is your mouth or your skin more important in protecting the body against pathogens correct answer: they are equally as important when should nurses obtain and oral health hx correct answer: in the client's admission assessment what should be included in an oral health hx correct answer: hygiene beliefs, practices, current state of oral health, do they have a dentist, medication review for xerostomia what should be assessed within the oral cavitiy correct answer: throat, tonsils, gums, buccal membranes, tongue, teeth, floor of mouth, upper palate, lips what should you check about the throat and tonsils correct answer: present, swollen what should be checked about the lips correct answer: color, moisture, lesions what do pale lips mean correct answer: anemia
what does the OHAT promote correct answer: systemic assessment how does the OHAT work correct answer: assess each area and assign a score from 1 to 2 for a total out of 16 what can untreated periodontal abscesses lead to correct answer: pathogen can get into the bone or bloodstream what do periodontal abscesses require correct answer: immediate referral to a dentist or MD what is xerostomia correct answer: dry mouth what can cause rampant decay in the mouth in days correct answer: xerostomia what can xerostomia cause correct answer: gingival inflammation, periodontal disease, halitosis, burning sensation, difficulty moving mouth what is halitosis correct answer: bad breath what is one of the biggest causes of xerostomia correct answer: medications what systemic disease can lead to xerostomia correct answer: cancer, diabetes, lupus, HIV/AIDs, parkinson's disease, cystic fibrosis who is xerostomia common in correct answer: elderly
what oral condition can chemotherapy and radiation cause correct answer: xerostomia what type of saliva do those with xerostomia have correct answer: thick or ropey what is saliva supposed to look like correct answer: thin, clear, slimy what are the mucous membranes like in the those with xerostomia correct answer: dry or sticky what is stomatitis correct answer: inflammation of the mucous membranes in the mouth who is stomatitis often seen in correct answer: partial and denture wearers what is candidiasis on dentures correct answer: thrush or yeast infection actually growing on the dentures as nurses what do we do with cancerous appearing lesions correct answer: we are required to report that we think it is cancer, not diagnose it where is squamous papilloma typically found correct answer: anywhere in the mouth but usually ventral tongue, frenum area, mucosal surface of lips
how do you score on the OHAT and what does each score mean correct answer: 0-2, 0 means healthy, 1 means changes, 2 means unhealthy
