ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 53 : Care of Patients with Oral Cavity Problems Questions
Question 1 of 5
A nurse assesses a clients oral cavity and observes the condition depicted in the photo below. What action by the nurse is best?
Correct Answer: B
Rationale: Given the context of oral cavity assessment and the presence of a condition depicted in a photo, the best action is to refer the client to a dentist immediately for further evaluation, as the condition could indicate a serious issue such as oral cancer. Documenting and monitoring is important but not sufficient as the primary action. Applying a topical anesthetic is inappropriate without a diagnosis, and education on oral hygiene is secondary to professional evaluation.
Question 2 of 5
The nurse is caring for a client with sialadenitis. What comfort measures may the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: A,C
Rationale: The UAP can apply warm compresses and offer fluids. Massaging salivary glands can be done, but not by the UAP. Lemon glycerin swabs are drying and should not be used. Speaking has no effect on this condition.
Question 3 of 5
A nurse studying cancer knows that job-related risks for developing oral cancer include which occupations?
Correct Answer: A,C,D,E
Rationale: The occupations of coal mining, metal working, plumbing, and textile work produce exposure to polycyclic aromatic hydrocarbons (PAH), which are known carcinogens. Electricians do not have this risk.
Question 4 of 5
A student nurse is providing care to an older client with stomatitis and dysphagia. What action by the student nurse regarding the specialized nurse to interview?
Correct Answer: B
Rationale: Viscous lidocaine gargles or mouthwashes are sometimes prescribed for clients with stomatitis and pain. However, the numbing effect can lead to choking or mouth burns from food. This client already has difficulty swallowing, so this medication is not appropriate.
Therefore, the nurse should intervene when the student prepares to administer this preparation. The other options are correct actions.
Question 5 of 5
A client has a large oral tumor. What assessment by the nurse takes priority?
Correct Answer: A
Rationale: Airway always takes priority. Airway must be assessed first and any problems resolved if present.