A 53-year-old works as a roofer & has chewed tobacco for 35 years. He tells the occupational health nurse that he has had a sore on his lip that been oozing blood for the past month. It is essential that the nurse recommends he;

contacts a support group for tobacco cessation

makes an appointment with his primary care provider as soon as possible.

avoid highly seasoned or acidic foods while to wound is actively oozing.

goes to an urgent care center to have his coagulation studies checked (PT/APTT/INR)

Answer and Explanation

The Correct Answer is B

A. While tobacco cessation is important for overall health, the priority in this case is addressing the potentially serious issue of a persistent sore that has been oozing blood for a month. This could be indicative of oral cancer, particularly given the client's long history of tobacco use.
B. Making an appointment with his primary care provider as soon as possible is the most appropriate recommendation. A persistent, non-healing lesion, especially with bleeding, should be evaluated by a healthcare provider to rule out oral cancer or other serious conditions. Early detection and intervention are crucial.
C. While avoiding highly seasoned or acidic foods while the wound is actively oozing might help reduce irritation to the sore, it does not address the underlying concern of the potential cancerous lesion that needs to be evaluated by a healthcare provider.
D. Going to an urgent care center to have his coagulation studies checked is no indication that the client has a bleeding disorder, so checking coagulation studies is not the immediate priority. The focus should be on evaluating the sore for signs of cancer or other serious conditions.

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Correct Answer is B

Explanation

A. A widening pulse pressure (the difference between systolic and diastolic blood pressure) can be a sign of increasing intracranial pressure (ICP), but it typically occurs later in the progression of ICP. Early signs of increased ICP are often more subtle and include changes in behavior and consciousness.

B. One of the earliest signs of increased ICP is altered mental status or behavioral changes, such as increasing restlessness or agitation. As pressure builds inside the skull, it affects the brain's ability to function normally, leading to these early signs. Restlessness may indicate that the brain is becoming less able to maintain normal function due to the increasing pressure.

C. A decrease in pulse rate may occur later in the course of increased ICP, particularly with severe increases in pressure. However, early signs typically involve changes in consciousness and mental status rather than changes in vital signs like heart rate.

D. Dilated and fixed pupils are a late sign of increased ICP and usually indicate significant brain herniation or severe neurological compromise. While they are serious and require immediate attention, they do not typically occur at the early stages of increased ICP.

A. Examine the skin for generalized urticaria. B. Observe for signs of infection. C. Review laboratory test results for low hemoglobin. D. Monitor the mouth for signs of xerostomia

Correct Answer is B

Explanation

A. Urticaria (hives) is not a common side effect of radiation therapy. The skin should be examined for localized radiation-induced skin changes, such as erythema or dryness, rather than generalized urticaria.
B. Radiation therapy can weaken the immune system, increasing the risk of infection. The nurse should monitor for signs of infection, especially in areas affected by radiation, as the skin and mucous membranes can become more vulnerable.
C. Low hemoglobin is not a direct or immediate concern related to radiation therapy for lung cancer. However, it could occur if the patient experiences bone marrow suppression, but this is not typically the primary concern for radiation therapy to the lung.
D. Xerostomia (dry mouth) is more commonly associated with radiation therapy to the head and neck area. Radiation to the lungs generally does not affect salivary glands, so monitoring for xerostomia is not necessary in this case.

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A 53-year-old works as a roofer & has chewed tobacco for 35 years. He tells the occupational health nurse that he has had a sore on his lip that been oozing blood for the past month. It is essential that the nurse recommends he;

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with an acute head injury. Which assessment finding would first alert the nurse that the client is developing an Increase in intracranial pressure?

Correct Answer is B

Explanation

nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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