The client presents to the urgent care clinic with multiple painless whitish nodules in the mouth.
The client reports a history of smoking cigarettes and occasionally drinking alcohol.
What condition does the nurse suspect?
Celiac disease
Periodontitis
Oral cancer
Oral thrush .
The Correct Answer is C
Choice A rationale
Celiac disease is an autoimmune disorder that primarily affects the small intestine. It is triggered by the consumption of gluten, a protein found in wheat, barley, and rye. It does not typically cause multiple painless whitish nodules in the mouth.
Choice B rationale
Periodontitis is a severe gum infection that damages the soft tissue and destroys the bone that supports your teeth. It does not typically cause multiple painless whitish nodules in the mouth.
Choice C rationale
Oral cancer can present as multiple painless whitish nodules in the mouth. Risk factors for oral cancer include tobacco use and heavy alcohol consumption.
Choice D rationale
Oral thrush, also known as oral candidiasis, is a condition in which the fungus Candida albicans accumulates on the lining of the mouth. While it can cause white lesions in the mouth, these are typically creamy and can be painful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Loss of insulin receptors on the target cell, resulting in insulin resistance, is a characteristic of type 2 diabetes mellitus, not type 15.
Choice B rationale
Overproduction of insulin from the beta cells of the pancreas is not a characteristic of type 1 diabetes mellitus. In fact, type 1 diabetes involves a lack of insulin due to the destruction of beta cells.
Choice C rationale
A pituitary tumor in the brain, resulting in increased antidiuretic hormone production, is not related to the pathophysiology of type 1 diabetes mellitus.
Choice D rationale
Type 1 diabetes mellitus is indeed caused by the destruction of the beta cells within the pancreas, which results in an inability to produce insulin.
Correct Answer is C
Explanation
Choice C rationale
Insulin plays a crucial role in decreasing blood glucose levels by facilitating the movement of glucose into cells, thereby reducing blood glucose concentrations (nih.gov, n.d.).
Choice A rationale
Glucocorticoids, such as cortisol, generally increase blood glucose levels by promoting gluconeogenesis (nih.gov, n.d.).
Choice B rationale
Glucagon acts to increase blood glucose levels by stimulating the liver to release stored glucose (nih.gov, n.d.).
Choice D rationale
Calcitonin is involved in calcium regulation and has no direct effect on blood glucose levels (Healthline, 2022).
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