The nurse's comprehensive assessment of a patient includes inspection for signs of oral cancer. What assessment finding is most characteristic of oral cancer in its early stages?

Presence of a painless sore with raised edges

Diffuse inflammation of the buccal mucosa

Dull pain radiating to the ears and teeth

Areas of tenderness that make chewing difficult

Answer and Explanation

The Correct Answer is A

Choice A reason:

A painless sore with raised edges is a characteristic early sign of oral cancer. It may appear as a small, painless lump or sore in the mouth, often with raised edges. This finding should raise suspicion and prompt further evaluation.

Choice B reason:

Diffuse inflammation of the buccal mucosa is a non-specific finding and can be caused by various factors, including infection or irritation. While it's important to assess the oral mucosa for any abnormalities, it is not specific to oral cancer.

Choice C reason:

Dull pain radiating to the ears and teeth is not a characteristic early sign of oral cancer. Pain associated with oral cancer may occur in later stages or if there is local invasion of nerves.

Choice D reason:

Areas of tenderness that make chewing difficult may occur for various reasons, including dental issues or other oral health problems. While this can be distressing for the patient, it is not specific to oral cancer.

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Correct Answer is C

Explanation

Choice A reason:

A shiny, moist stoma is generally a healthy sign, indicating good blood supply and adequate hydration of the stoma tissue. It is not a cause for concern.

Choice B reason:

A rosebud-like stoma orifice is a normal appearance for some types of stomas. It indicates a healthy stoma with good blood supply. This finding is expected and does not warrant concern.

Choice C reason:

A purplish-colored stoma may indicate compromised blood supply to the stoma, which is a serious concern and should be reported to the provider promptly. It may suggest inadequate blood flow to the stoma, which could lead to tissue necrosis.

Choice D reason:

Stoma oozing red drainage may be normal immediately postoperatively. It can be due to some oozing from the surgical site, and if it's minimal and stops after a short while, it's generally not a cause for concern.

A. Severe diarrhea B. Involvement of the rectal mucosa C. An absence of blood in stool D. A pattern of distinct exacerbations and remissions

Correct Answer is D

Explanation

Choice A reason:

Severe diarrhea can be a symptom of both Crohn's disease and ulcerative colitis and does not specifically indicate one over the other.

Choice B reason:

Involvement of the rectal mucosa is more indicative of ulcerative colitis rather than Crohn's disease, as Crohn's disease can affect any part of the digestive tract.

Choice C reason:

The presence or absence of blood in stool is not a definitive indicator of either Crohn's disease or ulcerative colitis, as both conditions can involve bleeding.

Choice D reason:

This statement is correct. A pattern of distinct exacerbations and remissions is more characteristic of Crohn's disease, whereas ulcerative colitis often presents with continuous, chronic symptoms.

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The nurse's comprehensive assessment of a patient includes inspection for signs of oral cancer. What assessment finding is most characteristic of oral cancer in its early stages?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?

Correct Answer is D

Explanation

The physician has ordered Ceclor 0.5 g to be administered orally now. Below you will see the medication label for this medication. How many milliliters of this medication will this patient receive?

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