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 ["E","F"]

Explanation

A. Frequent headaches can be a symptom of hypertension but are not specific to poorly managed hypertension.
B. Blood pressure consistently at goal indicates good management of hypertension.
C. Normal renal function tests suggest that there has been no damage to the kidneys, a common consequence of poorly controlled hypertension.
D. Steady weight with no recent gain suggests good management of overall health, which can contribute to better blood pressure control.
E. Proteinuria indicates kidney damage, often a result of uncontrolled hypertension.
F. Left ventricular hypertrophy (LVH) is a sign of chronic hypertension and indicates poor management, as it results from the heart working harder to pump blood against increased pressure.
G. Absence of retinal changes on fundoscopic exam indicates that there is no evidence of hypertensive retinopathy, suggesting good hypertension management.

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 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)

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

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

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

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