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 D
Explanation
A. While dietary consultation may be beneficial for overall health, colorectal cancer screening is more relevant given Robert's family history.
B. Colorectal cancer screening is recommended for individuals with a family history of colorectal cancer, regardless of symptoms.
C. A rectal examination alone is not sufficient for colorectal cancer screening; additional screening modalities such as colonoscopy or fecal occult blood testing are needed.
D. Colorectal cancer screening is recommended for individuals with a family history of colorectal cancer, starting at an earlier age and possibly with more frequent intervals than for those without a family history.
Correct Answer is ["B","C"]
Explanation
A. Antibodies don't typically cause physical damage to antigens.
B. Antibodies can initiate the complement system, which is a cascade of proteins that can lyse or opsonize antigens.
C. Antibodies can also emit chemicals that modify the antigen's environment, such as cytokines or histamine, which can attract other immune cells or cause inflammation.
D. Antibodies typically target specific proteins or structures on the antigen's surface, not the cellular nucleus.
E. This action doesn't accurately describe the function of antibodies.
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