The nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow up?

Thrush

Leukoplakia

Gingivitis

Canker sore

Answer and Explanation

The Correct Answer is B

Choice A reason: Thrush, a fungal infection from Candida, needs treatment but isn’t immediately urgent unless severe. It’s common in immunocompromised states, manageable with antifungals, lacking the acute, life-threatening potential requiring instant medical escalation in most typical cases here.

Choice B reason: Leukoplakia, white patches in the mouth, may signal precancerous changes linked to oral cancer. Its potential malignancy demands immediate follow-up for biopsy and intervention, distinguishing it as the most urgent diagnosis among these options clearly and critically.

Choice C reason: Gingivitis, gum inflammation, requires dental care but isn’t an immediate medical emergency. It’s reversible with hygiene, not posing the rapid progression risk of leukoplakia, making it less urgent for prompt physician referral in this context fully.

Choice D reason: Canker sores, benign ulcers, heal without intervention and lack systemic threat. Unlike leukoplakia’s cancer risk, they don’t warrant urgent follow-up, remaining a self-limiting condition not necessitating immediate medical escalation beyond routine management here entirely.

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Correct Answer is A

Explanation

Choice A reason: BPH, a benign growth, doesn’t increase prostate cancer risk; they’re distinct conditions. This reassures the client factually, addressing his fear directly with evidence, making it the most appropriate and supportive response in this context accurately.
Choice B reason: Testicular self-exams check testes, not prostate. This misdirects from BPH and prostate cancer concerns, offering irrelevant advice that fails to address the client’s specific fear about his diagnosis and its implications entirely here fully.
Choice C reason: Prostate cancer isn’t rare at 53; incidence rises with age. This false reassurance dismisses real risk, undermining trust and education, making it less appropriate than clarifying BPH’s non-link to cancer in this scenario comprehensively here.
Choice D reason: While true, prostate cancer’s slow growth doesn’t address BPH’s relation to it. This generic statement misses the client’s core fear about BPH as a risk factor, rendering it less targeted than the direct clarification fully here.

A. "It is important to have general hearing screening tests every year." B. "Ototoxic medications can damage hearing and should be avoided." C. "Wear hearing protectors when in loud environments." D. "Hearing loss can be caused by long or repeated sounds above 85 decibels."

Correct Answer is C

Explanation

Choice A reason: Annual hearing screenings detect loss, not prevent it. In manufacturing, where noise exposure is immediate, this reactive measure doesn’t address the primary risk of loud machinery damaging cochlear hair cells, missing proactive protection entirely.

Choice B reason: Avoiding ototoxic drugs like aminoglycosides prevents chemical hearing damage, but manufacturing noise is the dominant risk. This advice is secondary to physical noise control, less relevant to the plant’s environmental hazard than direct protective measures here.

Choice C reason: Hearing protectors, like earplugs, block noise above 85 decibels, preventing cochlear damage in loud manufacturing settings. This primary prevention targets the main risk—prolonged sound exposure—directly safeguarding workers’ auditory health effectively and immediately in context.

Choice D reason: Stating noise above 85 decibels causes loss educates but doesn’t prevent. It’s factual—hair cells die from overexposure—but lacks actionable protection for manufacturing workers facing this risk daily, making it less practical than wearing protectors.

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The nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow up?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 53 year-old client was recently diagnosed with benign prostatic hypertrophy (BPH). He is fearful and states, "My good friend just died from prostate cancer and I am concerned this will happen to me." What would be the most appropriate response by the nurse?

Correct Answer is A

Explanation

A nurse is planning a personal safety educational session for those who work in a manufacturing plant. Which of the following would be an important risk prevention measure to include regarding hearing?

Correct Answer is C

Explanation

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