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 ["A","B","D","E"]
Explanation
Choice A rationale
Pain during or after intercourse is a common symptom of endometriosis. The misplaced endometrial-like tissue can cause irritation and inflammation, leading to pain during or after sexual activity.
Choice B rationale
Pelvic pain is a primary symptom of endometriosis. The growth of endometrial-like tissue outside the uterus, particularly on structures within the pelvis, can lead to chronic pelvic pain. This pain may be cyclical (worsening around the menstrual period) or constant.
Choice C rationale
Urinary tract infection is not a direct clinical manifestation of endometriosis. While endometriosis can involve the urinary tract structures and cause urinary symptoms, it does not cause infections. Urinary tract infections are typically caused by bacteria, not by the presence of endometrial-like tissue.
Choice D rationale
Infertility is a potential complication of endometriosis. The presence of endometrial-like tissue can interfere with the normal function of the reproductive organs, leading to difficulties in achieving pregnancy. Approximately 30-50% of women with endometriosis may experience infertility.
Choice E rationale
Dysmenorrhea, or painful menstrual periods, is a common symptom of endometriosis. The pain is often described as far worse than typical menstrual cramps and may become more severe over time.
Correct Answer is D
Explanation
Choice A rationale
The urethra is a tube that carries urine from the bladder out of the body. It is not typically the location of a pyelonephritis infection.
Choice B rationale
The bladder is part of the lower urinary tract and is typically not the location of a pyelonephritis infection.
Choice C rationale
The ureters are tubes that carry urine from the kidneys to the bladder. While they can be affected by urinary tract infections, they are not typically the primary location of a pyelonephritis infection.
Choice D rationale
Pyelonephritis is an infection that occurs in the kidneys. It typically starts in the lower urinary tract, such as the bladder, and then spreads to one or both kidneys.
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