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

Explanation

A. Anti-cyclic citrullinated peptide (anti-CCP) antibodies are specific for rheumatoid arthritis but are not necessarily linked to disease activity.
B. Elevated rheumatoid factor (RF) levels are common in rheumatoid arthritis but not always indicative of disease activity.
C. A decreased erythrocyte sedimentation rate (ESR) is typically a sign of less inflammation, not more.
D. Elevated C-reactive protein (CRP) levels are a direct marker of inflammation and are often correlated with increased disease activity in rheumatoid arthritis.

A. Furosemide B. Metoprolol C. Natalizumab D. Pregabalin

Correct Answer is C

Explanation

A. Furosemide is a diuretic and is not associated with PML.
B. Metoprolol is a beta-blocker and does not cause PML.
C. Natalizumab is an immunosuppressant used for multiple sclerosis and has been linked to the development of PML, a serious brain infection.
D. Pregabalin is used for neuropathic pain and does not carry a risk for PML.

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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 55-year-old patient with rheumatoid arthritis is being evaluated for disease progression. Which of the following laboratory findings is most indicative of increased disease activity?

Correct Answer is D

Explanation

A nurse is caring for a client who has multiple sclerosis and is experiencing progressive multifocal leukoencephalopathy (PML). Which of the following medications should the nurse recognize is associated with the development of PML?

Correct Answer is C

Explanation

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