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. Loss of appetite following surgery is common due to the body’s stress response and recovery process. While this may affect nutrition, it is not immediately concerning unless it persists or is associated with other symptoms like vomiting or fever.
B. Absent bowel sounds in the lower abdominal quadrants is a serious concern and requires nursing intervention. It could indicate ileus or bowel obstruction, both of which can lead to serious complications such as bowel perforation or peritonitis. If bowel sounds are absent and the client is post-surgery, this may need further assessment and intervention.
C. Mild pain at the surgical site when sitting up is typical after surgery, especially abdominal surgery. Mild pain or discomfort is expected in the early post-operative period and generally does not require urgent intervention unless it becomes severe or is unmanageable.
D. The client requires the use of a colostomy bag – This is an expected and necessary part of recovery for clients undergoing surgery to redirect intestinal contents. It does not indicate a complication but rather a standard post-operative outcome.

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

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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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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;