1. The nurse is providing oral care to a patient. In which order will the nurse

clean the oral cavity, starting with the first area?

1. Roof of mouth, gums, and inside cheek

2. Chewing and inner tooth surfaces

3. Outer tooth surfaces

4.Tongue

a. 4, 1, 3, 2

b. 3, 2, 4, 1

c. 2, 3, 1, 4

d. 1, 4, 2, 3

ANS: C

Oral care is provided in the following sequence: Clean chewing and inner tooth

surfaces first. Clean outer tooth surfaces. Moisten brush with chlorhexidine

rinse to rinse. Use toothette to clean roof of mouth, gums, and inside cheeks.

Gently brush tongue but avoid stimulating gag reflex. Rinse.

29. The nurse is caring for an older-adult patient with Alzheimer’s disease who

is ambulatory but requires total assistance with activities of daily living (ADLs).

The nurse notices that the patient is edentulous. Which area should the nurse

assess?

a. Assess oral cavity.

b. Assess room for drafts.

c. Assess ankles for edema.

d. Assess for reduced sensations.

ANS: A

Edentulous means without teeth; therefore, the nurse needs to assess the oral

cavity. While older adults may want the room warmer and drafts should be

avoided, this does not help with being edentulous. Edentulous does