According to the Dental Caries Risk Assessment for Children from 0 to 5 years of age, active decay in the parent or caregiver or in the child automatically places the child at. Type 2 diabetes has been linked with an increased risk of liver cancer, usually in patients who also have other risk factors such as heavy alcohol use and/or chronic viral hepatitis. Which of the following indicate healthy periodontium? Release insulin evenly throughout the day and control basal glucose levels. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Wincing or squinting of the eyes likely means a deficit in which human needs related to dental hygiene care? According to the CAMBRA philosophy, the clinician first assesses the individual's caries disease indicators, risk factors, and protective factors. With lower shank parallel to the tooth surface, which of the following set of instruments indicate a proper angulation of the cutting edge to the tooth surface? Your reaction is to yell and wave your handpiece in a threatening manner. Documentation of periodontal assessment findings at every visit is essential for accurate periodontal disease and risk management. a. Staining caused by drinking coffee that can be removed by scaling and polishing are best be classified as. Your interest is to work with the dental hygiene association and state legislators to identify funds that support a mobile dental van and be staffed to provide care to patients in rural areas where there are few dental providers, thus increasing access to care. In adults, too much of this hormone causes bones, cartilage, body organs, and other tissues to increase in size. One of your staff members is not performing his job responsibilities. People who are at increased risk of hepatitis B due to travel to certain countries, work exposure to blood, high-risk sexual behavior, injectable drug use, living situations, and certain medical conditions. When teaching the patient about the reason for these lifestyle changes, the nurse will tell the patient that, A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dl (6.7 mmol/L). The assessment of oral deposits should be a factor in developing an individualized treatment plan. All of the following clinical services should be provided EXCEPT one. In one category, type 1 diabetes, the cause is an absolute deficiency of insulin secretion. Reduce the secretion of pancreatic enzymes. Preterm labor or birth is more likely to occur with severe diabetes and is the greatest risk in women with pregestational diabetes. The employer is informed of the conversation and accuses the dental hygienist of slander. Clinical attachment loss (CAL) is determined by measuring from the gingival margin to the base of periodontal pocket and also measuring from the CEJ to the free gingival margin. A client is brought to the emergency room in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome is made. 2, the client refuses to allow the dental hygienist to administer anesthesia. The nurse will plan to teach the patient about mealtime coverage using _____ insulin. Which aspect of the Oral Health-Related Quality of Life Model includes the interrelated concepts that define quality of life? The portal vein carries blood from your stomach, pancreas, and other digestive organs to your liver. If you are looking to create your own site, with 123-reg.co.uk it's easier than you think. A patient who has just been diagnosed with type 2 diabetes is 5 ft 4 in (160 cm) tall and weighs 182 pounds (82 kg). The advantage of the sickle scaler is its ability to reach between tight contacts. As you get ready to leave the office one evening, Dr. Z calls you into her office. Cardiac monitoring is initiated for a patient in diabetic ketoacidosis (DKA). The score from this test is 8%. Intent by the dental hygienist to cause the negligent act. Which order should the nurse implement first? Furcations close to the CEJ are ______ likely to become involved with periodontal disease, and such disease has a ______ favorable post-therapy prognosis. A patient diagnosed with viral hepatitis is prescribed ribavirin and interferon alfa-2a. Which concept includes the surroundings where the client and dental hygienist interact? If you have a parent with type 1 diabetes, you may be an increased risk of developing this chronic disease yourself. This best describes: Two dental hygienists are employed in a dental clinic with more than 25 employees. What are the 5 dimensions of non-adherence. A newly diagnosed type 1 diabetic patient likes to run 3 miles several mornings a week. Because HIV-infected people have a higher risk of lung cancer, it is especially important that they do not smoke. Which human need related to dental hygiene care is the need to feel safe and to be free from emotional discomfort in the oral healthcare environment and to receive appreciation, attention, and respect from others? A client is admitted to the medical-surgical floor with a diagnosis of acute pancreatitis. A frail elderly patient with a diagnosis of type 2 diabetes mellitus has been ill with pneumonia. Before lunch, the students completed a health history for a student partner. The risk of lung, oral, and other cancers can be reduced by quitting smoking. The two major categories of civil law that a dental hygienist could allegedly violate include: A friend contacts you aware that you are a licensed dental hygienist and own your practice and asks if you can "stay late" and clean her teeth. (Select all that apply. Which domain is first in the Client Self-Care Commitment Model? A primary role of the dental hygienist is to motivate and empower patients to adopt and maintain positive oral health behaviors. Maternal morbidity includes physical and psychologic conditions that result from or are aggravated by pregnancy and have an adverse effect on a woman's health. a. Hemidesmosomes form the attachment between the tooth and the basal lamina. Generally, it has been found that babies weighing more than 7.7 pounds at birth have a 6% higher risk of type 1 diabetes, and those weighing more than 8.8 pounds at birth have a 10% higher risk of developing it. During 1961 through 1974, advancing maternal age did not appear to increase the risk of fetal death over that among women 30 or younger until women reached 40 years of age (odds ratio, 1.8; 95 . Which question by the nurse is most appropriate? Which of the following diagnostic tests should be performed annually over age 50 to screen for colon cancer? The disadvantage is the sharp tip and the straight cutting edge do not adapt well to rounded tooth surfaces. The position of which landmark is required to determine the amount of attached gingiva? You are supposed to be a "patient" for your partner on Monday morning as part of a preclinical exercise and you had assured your partner you would be there "bright and early." It may be used to measure clinical attachment, bleeding on probing and detect furcation involvement or invasion. a. A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. To prepare the patient for the procedure, the nurse, A patient hospitalized with possible acute pancreatitis has severe abdominal pain and nausea and vomiting. Each of the following teeth roots have a more lingual inclination than the crowns in a faciolingual direction EXCEPT one. Your risk increases with age. Recent estimates [1, 2] suggest that homelessness affects up to an estimated 800,000 persons on any one week in the United States.Furthermore, between 3-5 times as many people experience homelessness over a year's time as are homeless on any one particular day [1, 3]. A client has just had surgery for colon cancer. d) systematically rotate insulin injections within one anatomic site. Which of the following is accurate pertaining to physical exercise and type 1 diabetes mellitus? Which is the EXCEPTION? A dental hygiene colleague is accused of dental hygiene malpractice. Maria, a dental hygienist, is air polishing Kyle's teeth. The nurse would expect the diagnosis to be confirmed with laboratory testing that reveals elevated serum, A patient with acute pancreatitis has a nasogastric (NG) tube to suction and is NPO. Unlimited intake of total fat, saturated fat and cholesterol. Overweight and obesity are conditions caused by an increase in the size and amount of fat cells in the body. Assume all factors required to sue under the federal law are met. Fred becomes frightened and reports your actions to his parents. They also tend to have a less favorable prognosis (outlook) after diagnosis. [Hint], a. Which of the following is an important factor when selecting the best width and thickness of a periodontal debridement instrument? c. Cavitated carious lesions in primary teeth. Your child patient, Fred Fidgety, is not cooperating at his dental hygiene appointment. Before notifying the health care provider, the nurse should, When assessing the neurologic status of a patient with a diagnosis of hepatic encephalopathy, the nurse asks the patient to, When lactulose (Cephulac) 30 ml QID is ordered for a patient with advanced cirrhosis, the patient complains that it causes diarrhea. Dental hygiene students are discussing their initial experience in the preclinical dental hygiene course. "Biologically sound and functional dentition" is a feature of the. The nurse will anticipate that the patient may, A program of weight loss and exercise is recommended for a patient with impaired fasting glucose (IFG). Which of the following ethical principles is the student violating? Your employer hires Peggy Pyramid as a dental hygienist for the practice. Hepatitis A reports, by risk exposure/behavior - United States, 2016 Which one is that EXCEPTION? Which of the federal legislative mandates allows you to take time off from work? The application of disclosing agents should occur following the clinical assessment of the gingiva. Each of the following is an instrument used for assessing root surfaces EXCEPT one. During a teaching session, the nurse tells the client that 50% to 60% of daily calories should come from carbohydrates. Double Burden: a serious risk Many low- and middle-income countries are now facing a "double burden" of disease: as they continue to struggle with the problems of infectious diseases and under-nutrition; at the same time they are experiencing a rapid increase in risk factors of NCDs such as obesity and overweight, particularly in urban settings. Each of the following is a local risk factor for periodontitis EXCEPT one. Each of the following is true of meeting the human need of conceptualization and problem solving related to dental hygiene care EXCEPT one. Which instrument is the best instrument for calculus removal on the mesial line angles for a client who presents with periodontal probing depths greater than 5 mm in maxillary right posterior teeth with light to moderate burnished calculus and slightly loose tissue? When fermentable carbohydrates are ingested, the plaque biofilm pH drops rapidly (below pH 5.5) and then biofilm fluid in contact with the tooth surface is acidic. Dental healthcare access has been limited historically in the United States by the lack of dentists practicing in. When Pia Tran informs dental hygienist, Mark Rosenberg, that she does not support the use of fluoride, Mark would likely begin to engage Pia in conceptualization and problem solving as well as responsibility for oral health with respect to her children's dentition from the perspective of. Hepatitis C virus causes serious damage to the liver and can be fatal. In a cohort study of 7337 patients with COVID-19 with and without type 2 diabetes, it was shown that those with type 2 diabetes required increased interventions for their hospital stay versus those that were nondiabetic . Each of the following is a characteristic of black line stain EXCEPT one. A nurse cares for a client following a liver biopsy. a) By age 6, chronic infection risk decreases to around 5 to 10%, while in adults and adolescents, the risk is around 1 to 5% the infection will result in chronicity . The student now plans to take a swimming class every day at 1:00 PM. Each of the following is one of the things the patient's attorney has to prove EXCEPT one. Which of the following types of sexual harassment is occurring in this situation? A dental hygienist does not adequately review the client's medical history resulting in an allergic reaction to the anesthesia used during dental hygiene procedure causing client harm, thus violating the standard of care. Each of the following treatment instruments will adapt to the root morphology and access base of the sulcus for the maxillary right posterior teeth for a client who presents with periodontal probing depths greater than 5 mm in maxillary right posterior teeth with light to moderate burnished calculus and slightly loose tissue EXCEPT one. To learn about clinical trials of new treatments for fatty liver disease, visit ClinicalTrials.gov, call the toll-free number at 1-800-HIV-0440 (1-800-448-0440) or email contactus@aidsinfo.nih.gov. The first statement is true, the second is false. The nurse teaches the patient that, A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNC) is made for a patient with type 2 diabetes who is brought to the emergency department in an unresponsive state. The surroundings in which the client and dental hygienist are interacting is the concept of, According to the Dental Hygiene Human Needs Conceptual Model, the patient learns from the dental hygienist about oral/systemic health, promoting oral/health. Maheshwari A, Ray S, Thuluvath PJ. Failing to check the license status of the dental staff. Which one is that EXCEPTION? Skin and mucous membrane integrity of the head and neck ( double check chapter 2). Poor glycemic control during the preconception time frame and into the early weeks of the pregnancy is associated with congenital anomalies. The nurse is caring for patients in the student health center. risk factor: [noun] something that increases risk or susceptibility. Diabetes is a condition that affects the body's ability to use blood sugar for energy. Instructing the client to report redness, swelling, fever, or pain at the site to the physician for evaluation of infection. The employment terms were clear and you had not received any negative feedback about your performance. he goal for pre-prandial blood glucose for those with Type 1 diabetes mellitus is: The guidelines for Carbohydrate Counting as medical nutrition therapy for diabetes mellitus includes all of the following EXCEPT: b. The health history is the standard form used for all patients in the dental hygiene clinic. Each of the following must occur when obtaining informed consent from a client to proceed with scaling and root planing with anesthesia EXCEPT one. During treatment of a patient with a Minnesota balloon tamponade for bleeding esophageal varices, which nursing action will be included in the plan of care? 4. Obesity is becoming a significant and growing health crisis, affecting both developed and developing countries 43,44.People with obesity have shorter life spans and are at increased risk for a number of general medical conditions, including type 2 diabetes mellitus, DM (relative risk, RR >3), cardiovascular disease, CVD (RR >2-3), dyslipidemia (RR >3), hypertension (RR >2-3 . Diabetes mellitus appeared to have a marked influence on the development of cholelithiasis but was not identified as a significant independent risk factor for cholelithiasis. Anti-hepatitis B: known allergy to drugs, to prevent hypersensitivity reactions; lactation, to prevent potential toxicity to the infant; renal and liver impairment, because of increased risk of toxicity. b. d. Acute hepatitis lasts under six months, while chronic hepatitis lasts longer. The patient should be educated to expectorate (spit) completely after brushing and rinse afterward. Today the dental hygienist performs an efficient periodontal screening to determine IF she needs to complete a comprehensive periodontal assessment on Mr. R. This efficient periodontal screening examination is termed a: Xerostomia can have a negative impact on the periodontium and is associated with more than 500 medications. Physical exercise can slow the progression of diabetes mellitus. Improperly licensed and registered personnel providing care. Referral to a periodontist for initial periodontal therapy. The patient has questions about professional dental hygiene care or dental treatment. The nurse is having difficulty obtaining a capillary blood sample from a client's finger to measure blood glucose using a blood glucose monitor. No matter your skill level, we can help you build a great site and get it online in no time. The deposition of minerals into demineralized areas of tooth structure is called, Demineralization of tooth enamel occurs around a pH below. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. He sees a small spot of blood forming under his glove. We could go together and enjoy ourselves. Which is the EXCEPTION? The hygienists have comparable training and work experience. b. pancakes with butter and honey and orange juice. One of the benefits of Glargine (Lantus) insulin is its ability to: b. HIV increases the risk of Kaposi's sarcoma, lymphoma, eye cancer, cervical cancer and anal cancer. People who have shared toothbrushes, razors and other personal items with a family member that is HCV-infected. The nurse would immediately prepare to initiate which of the following anticipated physician's orders? After the ingestion of fermentable carbohydrates stops, the oral pH gradually returns to neutral in 30 to 60 minutes provided there is, c. The first statement is true, the second is false. The tooth mineral lost due to acid attacks will be too great for repair by natural salivary remineralization if. Which is the EXCEPTION? Acute hepatitis C. Lancet. A nurse checking the patient's lab results would expect which of the following changes in laboratory findings? b. The majority of commercial dentifrices available in the United States contain around how many parts per million (ppm) fluoride? The doctors orders include: 1200 calorie ADA diet, 15 units NPH insulin before breakfast, and check blood sugar qid. Help with quitting smoking is available through the National Cancer Institute's (NCI's) smoking quitline at 1-877-448-7848 (1-877-44U-QUIT .
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