Nokea
The nurse reads a clients chart and sees that the health care provider assessed mucosal erythropplasia. What does the client needs to what that this means for the client?
- A. Early sign of oral cancer
- B. Fungal mouth infection
- C. Inflammation of the gums
- D. Obvious oral tumor
Correct Answer: A
Rationale: Mucosal erythropplasia is the earliest sign of oral cancer. It is not a fungal infection, inflammation of the gums, or an obvious tumor.
You may also like to solve these questions
A female client hospitalized for an unrelated problem has a large partly-white lesion on her lip, to which she is the nurse or health care provider. What action by the nurse is best?
- A. Ask the client why her appearance is so important
- B. Ignore the lesion since the client and not discuss it
- C. Inform the client that early-stage cancer is curable
- D. Know with the client to establish a trusting relationship
Correct Answer: D
Rationale: Clients with oral cancers often have body image difficulties due to the location of the tumor or the results of surgical treatment. This client appears to be using denial to cope with this problem. The nurse should work to establish a helping-trusting relationship in hopes that the client will be amenable to future discussions about the lesion. Asking why questions often puts people on the defensive and should be avoided. Ignoring the lesion is not being an advocate for the client. Education is important, but right now the client is in denial, so this information will not seem relevant to her.
A student nurse is providing care to an older client with stomatitis and dysphagia. What action by the student nurse regarding the specialized nurse to interview?
- A. Assisting the client to perform oral care every 2 hours
- B. Preparing to administer a viscous lidocaine gargle
- C. Translating the client nurse to administer a (Mycomatin)
- D. Teaching the client to use a soft-bristled toothbrush
Correct Answer: B
Rationale: Viscous lidocaine gargles or mouthwashes are sometimes prescribed for clients with stomatitis and pain. However, the numbing effect can lead to choking or mouth burns from food. This client already has difficulty swallowing, so this medication is not appropriate. Therefore, the nurse should intervene when the student prepares to administer this preparation. The other options are correct actions.
A client is prescribed cotusimma (Ebitus) for oral cancer and asks the nurse how it works. What response by the nurse is best?
- A. Blocks the epidermal growth factor
- B. Cuts off the tumor's blood supply
- C. Prevents tumor extension
- D. Targets rapidly dividing cells
Correct Answer: A
Rationale: Cetusimma (Ebitus) targets and blocks the epidermal growth factor, which contributes to the growth of oral cancers. The other explanations are not correct.
A client is having a temporary tracheostomy placed during surgery for oral cancer. What action by the nurse is best to relieve anxiety?
- A. Agree on a postoperative communication method
- B. Explain the staff will answer the call sign promptly
- C. Give the client a Magic Slate to write on postoperatively
- D. Reassure the client that you will take care of all of his or her needs
Correct Answer: A
Rationale: Before surgery that interrupts the client's ability to communicate, the nurse, client, and family (if possible) agree on a method of communication in the postoperative period. The client may prefer a slate and may not be able to communicate in writing. Reassuring the client and telling him or her that you will take care of all of his or her needs does not help the client be an active participant in care. Ensuring that the staff will answer the call sign promptly is not a guarantee and will occur.
A nurse studying cancer knows that job-related risks for developing oral cancer include which occupations?
- A. Coal miner
- B. Electrician
- C. Metal worker
- D. Textile worker
- E. Plumber
Correct Answer: A,C,D,E
Rationale: The occupations of coal mining, metal working, plumbing, and textile work produce exposure to polycyclic aromatic hydrocarbons (PAH), which are known carcinogens. Electricians do not have this risk.