The nurse is assessing a patient prior to surgery for oral cancer. Which of the following would be considered a risk factor for the development of this disease?

Consumption of spicy foods.

Daily NSAID use

Cholecystitis

Human Papilloma virus (HPV)

Answer and Explanation

The Correct Answer is D

A.   While some individuals may experience discomfort or irritation from spicy foods, there is no substantial evidence linking spicy food consumption directly to the development of oral cancer. It can cause symptoms like mouth ulcers or gastritis in some people but is not recognized as a significant risk factor for oral cancer.
B.   Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) is not directly associated with an increased risk of oral cancer. In some contexts, they may even have protective effects against certain cancers due to their anti-inflammatory properties. However, chronic use can lead to other complications, such as gastrointestinal issues, rather than directly influencing oral cancer risk.
C.   Cholecystitis, or inflammation of the gallbladder, is unrelated to the development of oral cancer. It primarily affects the digestive system and does not have a known link to oral malignancies. Thus, it is not considered a risk factor for oral cancer.
D.   HPV, particularly certain high-risk strains, is recognized as a significant risk factor for the development of oral cancers, especially oropharyngeal cancers. HPV can lead to cellular changes that increase the likelihood of malignancy in the oral cavity.

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Correct Answer is D

Explanation

A. Metronidazole is an antibiotic used to treat certain bacterial and parasitic infections, including those caused by organisms like Giardia and some anaerobic bacteria. While it may be appropriate if a specific diagnosis indicates its use, it is not the first action without further evaluation.
B. Loperamide is an antidiarrheal medication that slows intestinal movement and can help alleviate diarrhea. However, using loperamide in cases of suspected infectious diarrhea (especially if due to a bacterial or parasitic cause) can worsen the condition by keeping pathogens in the system longer. It is generally not the first choice in such scenarios.
C. A complete blood count (CBC) can provide information about the patient's overall health and help identify signs of infection (like elevated white blood cell counts). However, this diagnostic test is not an immediate intervention to manage the patient's current symptoms.
D. Collecting a stool sample is crucial to identify the causative organism responsible for the diarrhea, especially given the recent consumption of undercooked meat. This step is important for guiding appropriate treatment, as it will help determine whether an infectious agent is present and what specific treatment may be required.

A. "An antacid may be taken with the medication if indigestion occurs." B. "Store sucralfate in the refrigerator." C. "Take sucralfate 1 hr before meals." D. "Take the tablets whole."

Correct Answer is C

Explanation

A. Sucralfate works by forming a protective barrier over the ulcer and is best taken on an empty stomach. Antacids can interfere with the effectiveness of sucralfate if taken simultaneously. It’s usually recommended to wait at least 30 minutes to 1 hour after taking sucralfate before taking an antacid.
B. Sucralfate should be stored at room temperature, away from moisture and heat, but it does not need to be refrigerated. This guidance is essential to ensure that the medication maintains its effectiveness.
C. Sucralfate is typically taken 1 hour before meals and at bedtime to optimize its protective effect on the stomach lining and ulcers. This timing allows it to coat the ulcer effectively before food intake.
D. Sucralfate tablets should be swallowed whole and not crushed or chewed, as doing so may affect how the medication works. This instruction helps ensure that the sucralfate can properly adhere to the ulcer surface.

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The nurse is assessing a patient prior to surgery for oral cancer. Which of the following would be considered a risk factor for the development of this disease?

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Naxlex Comprehensive Predictor Exams

The patient reports experiencing frequent watery stools after eating undercooked meat at a restaurant. Which health care provider prescription would the nurse implement first?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

Correct Answer is C

Explanation

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