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 has conducted a community screening event for oral cancer. What client is the highest priority for referral to a dentist?
Correct Answer: B
Rationale: Smoking and alcohol exposure create a high risk for this client. Poor oral hygiene is not related to the etiology of cancer but may cause a tumor to go unnoticed. Tanning is a risk factor, but short-term exposure does not have the same risk as daily exposure to tobacco and alcohol. Illicit drugs are not related to oral cancers.
Question 2 of 5
The nurse reads a clients chart and sees that the health care provider assessed mucosal erythropplasia. What does the client needs to what that this means for the client?
Correct Answer: A
Rationale: Mucosal erythropplasia is the earliest sign of oral cancer. It is not a fungal infection, inflammation of the gums, or an obvious tumor.
Question 3 of 5
A client is having a temporary tracheostomy placed during surgery for oral cancer. What action by the nurse is best to relieve anxiety?
Correct Answer: A
Rationale: Before surgery that interrupts the client's ability to communicate, the nurse, client, and family (if possible) agree on a method of communication in the postoperative period. The client may prefer a slate and may not be able to communicate in writing. Reassuring the client and telling him or her that you will take care of all of his or her needs does not help the client be an active participant in care. Ensuring that the staff will answer the call sign promptly is not a guarantee and will occur.
Question 4 of 5
A nurse is caring for four clients. After receiving the hand-off report, which client should the nurse see first?
Correct Answer: B
Rationale: The client who needs frequent suctioning should be seen first to ensure that his or her airway is patent. The client waiting for pain medication should be seen next. The nurse may need to call the surgeon to see the client who is asking questions. The client waiting for discharge instructions can be seen last.
Question 5 of 5
A client is prescribed cotusimma (Ebitus) for oral cancer and asks the nurse how it works. What response by the nurse is best?
Correct Answer: A
Rationale: Cetusimma (Ebitus) targets and blocks the epidermal growth factor, which contributes to the growth of oral cancers. The other explanations are not correct.