A pregnant woman states that she is concerned about her gums because she has

A pregnant woman states that she is concerned about

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26. A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding. What would be an appropriate response by the nurse?a.Your condition is probably due to a vitamin C deficiency.b.Im not sure what causes swollen and bleeding gums, but let me know if its not better in a few weeks.c.You need to make an appointment with your dentist as soon as possible to have this checked.d.Swollen and bleeding gums can be caused by the change in hormonal balance in your system during pregnancy.ANS: DGum margins are red and swollen and easily bleed with gingivitis. A changing hormonal balance may cause this condition to occur in pregnancy and puberty.
DIF: Cognitive Level: Applying (Application) REF: p. 357MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation27. A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding, as well as otherareas that have a white, cheesy coating. The nurse recognizes that this abnormality is:Candidiasis is a white, cheesy, curdlike patch on the buccal mucosa and tongue. It scrapes off, leaving a raw, red surface that easily bleeds. It also occurs after the use of antibiotics or corticosteroids and in persons who are immunosuppressed. (See Table 16-4 for descriptions of the other lesions.)DIF: Cognitive Level: Applying (Application) REF: p. 380MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation28. The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to hisconcern, what would the nurse say?
A black, hairy tongue is not really hair but the elongation of filiform papillae and painless overgrowth of mycelial threads of fungus infection on the tongue. It occurs after the use of antibiotics, which inhibit normal bacteria and allow a proliferation of fungus.DIF: Cognitive Level: Analyzing (Analysis) REF: p. 381MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation

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