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 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 2 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.
Question 3 of 5
A client had an oral tumor removed this morning and now has a tracheostomy. What action by the nurse is best?
Correct Answer: C
Rationale:
To promote airway clearance, this client should be placed in a semi- or high-Fowler's position. Oral care can be delegated, but that is not the priority. Intake and output should also be recorded but again is not the priority. The tracheostomy site may or may not need to be cleaned daily, and this is not the priority action.
Question 4 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 5 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.