The nurse is examining the client's mouth and discovers leukoplakia. In questioning the nurse the client reveals it has been there for more than a month. The nurse documents the condition and informs the doctor, anticipating:
1. An order to provide thorough mouth care.
2. A biopsy will be performed.
3. An antifungal medication order.
4. A dental consult.
2. A biopsy will be performed.
Rationale:
Leukoplakia is a smooth irregular white patch found on the tongue, lips, cheeks, or oral mucosa that can be rubbed off with force and is considered a precursor to oral cancer. A patch that lasts more than 2 weeks is generally biopsied. Mouth care and antifungal medication would not address the possibility of oral cancer. A dental consult may be advised, but a biopsy would take priority.
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