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 A , B, C, B ,
No explanation
Correct Answer is ["A","D"]
Explanation
A. As Jack will likely have a stoma after the partial laryngectomy, educating him on stoma care is crucial preoperatively.
B. While support groups may be beneficial for Jack postoperatively, they are not immediate preoperative interventions.
C. Preoperative antibiotics are not routinely indicated for a partial laryngectomy unless there are specific risk factors present.
D. Given the nature of the surgery, ensuring Jack has a method for postoperative communication is important.
E. While assessment for signs of infection or hemorrhage is important, it's more of a perioperative and postoperative nursing intervention.
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