A nurse is providing preventative health care education material to a new client who chews tobacco. Which of the following statements should the nurse underline as an important reminder in the pamphlet that highlights oral health for this client?

Using a tartar and plaque-reducing mouthwash can decrease the incidence of caries.

As of 2020, the 5-year survival rate of oral cancer remains low at less than 50%.

Brushing and flossing your teeth decreases the incidence of cardiovascular disease.

Untreated caries can contribute to tooth loss and negatively impact a client's quality of life.

Answer and Explanation

The Correct Answer is D

A.   Using mouthwash may reduce tartar and plaque, but it does not address the severe risks associated with tobacco use, such as oral cancer.
B.   The 5-year survival rate for oral cancer is low, but it is not specifically tied to the year 2020 and should be emphasized in a broader context.
C.   Brushing and flossing are essential for oral health, but they do not directly relate to cardiovascular disease prevention.
D.   Tobacco use can significantly increase the risk of caries, tooth loss, and other oral health problems, negatively affecting the client's quality of life.

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Correct Answer is ["D","E"]

Explanation

A. Discoloration of the fingers is not typically associated with carpal tunnel syndrome, which mainly involves nerve compression.
B. Swelling of the entire hand is not a common finding in carpal tunnel syndrome, though localized swelling at the wrist may occur.
C. Pain in the forearm without hand involvement is not typical of carpal tunnel syndrome, which primarily affects the wrist and hand.
D. A positive Phalen's test is indicative of carpal tunnel syndrome, as it reproduces symptoms when the wrist is flexed.
E. A positive Tinel's sign, which involves tapping the median nerve at the wrist to elicit symptoms, is a classic test for carpal tunnel syndrome.
F. Pain relief with wrist extension is common in carpal tunnel syndrome, as extending the wrist relieves pressure on the median nerve.

A. Iron deficiency anemia B. Vitamin B12 deficiency anemia C. Thalassemia minor D. Anemia of chronic disease

Correct Answer is B

Explanation

A. Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B. Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C. Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D. Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.

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A nurse is providing preventative health care education material to a new client who chews tobacco. Which of the following statements should the nurse underline as an important reminder in the pamphlet that highlights oral health for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome? (Select All that Apply.)

Correct Answer is ["D","E"]

Explanation

A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Correct Answer is B

Explanation

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