James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?
Do you have a productive cough?
Are you taking any other medications?
Have you ever had oral herpes?
How often do you brush your teeth?
The Correct Answer is B
A. While coughing may be a symptom of certain conditions, it's not directly related to the presence of white lesions in the throat.
B. Chemotherapy can suppress the immune system and predispose patients to oral candidiasis (thrush). It's important to inquire about other medications that may contribute to this condition or interact with chemotherapy.
C. Oral herpes typically presents as cold sores or fever blisters and may not be directly related to the white lesions observed.
D. While oral hygiene is important, the presence of white lesions in James's throat is more likely related to his medical condition and treatment than to dental hygiene habits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A urine output of 300 ml/hr and low specific gravity are not indicative of normal renal function.
B. Diabetes insipidus is characterized by excessive urine output (polyuria) with low urine specific gravity.
C. Acute kidney injury would typically present with oliguria (decreased urine output) or anuria (absence of urine output).
D. Urinary tract infection would typically present with other signs such as dysuria, urgency, and possibly fever, but not necessarily altered urine output and specific gravity.
Correct Answer is ["A","C","E"]
Explanation
A. This method involves scratching or pricking the skin with a small amount of the suspected allergen to observe any allergic reaction.
B. This method is not typically used for identifying allergens; it's more associated with oral challenges for diagnosing food allergies but is not recommended since it may cause severe anaphylaxis.
C. This method, known as intradermal testing, is less common than scratch tests and is typically used when scratch tests produce inconclusive results.
D. This method is not typically used for identifying allergens and can cause severe eye damage.
E. Patch testing involves applying patches containing allergens to the skin and observing for reactions. It's commonly used to identify contact allergens.
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