The client presents to the urgent care clinic with multiple painless whitish nodules in the mouth.
The client reports a history of smoking cigarettes and occasionally drinking alcohol.
What condition does the nurse suspect?
Celiac disease
Periodontitis
Oral cancer
Oral thrush .
The Correct Answer is C
Choice A rationale
Celiac disease is an autoimmune disorder that primarily affects the small intestine. It is triggered by the consumption of gluten, a protein found in wheat, barley, and rye. It does not typically cause multiple painless whitish nodules in the mouth.
Choice B rationale
Periodontitis is a severe gum infection that damages the soft tissue and destroys the bone that supports your teeth. It does not typically cause multiple painless whitish nodules in the mouth.
Choice C rationale
Oral cancer can present as multiple painless whitish nodules in the mouth. Risk factors for oral cancer include tobacco use and heavy alcohol consumption.
Choice D rationale
Oral thrush, also known as oral candidiasis, is a condition in which the fungus Candida albicans accumulates on the lining of the mouth. While it can cause white lesions in the mouth, these are typically creamy and can be painful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Pain in the left lower quadrant is not typically associated with acute gastritis. This symptom is more commonly associated with conditions affecting the lower left region of the abdomen, such as diverticulitis or kidney stones.
Choice B rationale
Epigastric pain is a common symptom of acute gastritis. This pain is often described as a gnawing or burning ache in the upper abdomen, and it may become either worse or better after eating.
Choice C rationale
Rectal pain is not typically associated with acute gastritis. This symptom is more commonly associated with conditions affecting the rectum or anus, such as hemorrhoids or anal fissures.
Choice D rationale
Chronic pain in the right upper quadrant is not typically associated with acute gastritis. This symptom is more commonly associated with conditions affecting the liver or gallbladder, such as gallstones or hepatitis.
Correct Answer is A
Explanation
Choice A rationale
The client's symptoms, such as palpitations, high heart rate, restlessness, weight loss, amenorrhea, intolerance to heat, and bulging eyes, are consistent with hyperthyroidism. This condition occurs when the thyroid gland produces excessive amounts of thyroid hormones (Healthline, 2022).
Choice B rationale
Hypothyroidism typically presents with symptoms such as fatigue, weight gain, cold intolerance, constipation, and dry skin. This condition is characterized by an underactive thyroid gland (Healthline, 2022).
Choice C rationale
Hypoparathyroidism results from low parathyroid hormone levels, leading to symptoms like muscle cramps, tingling sensations, and tetany. It does not involve the thyroid gland (nih.gov, n.d.).
Choice D rationale
Hyperparathyroidism is caused by overactive parathyroid glands, resulting in high calcium levels in the blood. Symptoms include kidney stones, bone pain, and fatigue (Healthline, 2022).
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