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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
While assessing the client's level of consciousness is important, it is not the priority after an EGD procedure. Ensuring the client's airway and protective reflexes is more crucial.
Choice B reason:
This is the correct answer. After an EGD, the client may have residual effects from sedation. Assessing the gag reflex helps ensure that the client's airway is protected.
Choice C reason:
Nausea is a common side effect after an EGD, but it is not the priority assessment. Ensuring the client's airway and safety come first.
Choice D reason:
Assessing pain is important for the client's comfort, but it is not the priority assessment after an EGD. Ensuring the client's airway and protective reflexes is more crucial.
Correct Answer is A
Explanation
Choice A reason:
Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.
Choice B reason:
Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.
Choice C reason:
Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.
Choice D reason:
While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.
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