The nurse is educating a group of teenagers in high school about the risks of chewing tobacco. The nurse would include information about which of the following signs of oral cancer?
1. Bleeding and inflamed gums
2. Smooth and shiny tongue
3. Red, swollen tonsils
4. Ulcerations on the lip or under the tongue
4
Rationale 1: Bleeding and inflamed gums are associated with gingivitis.
Rationale 2: A smooth, shiny tongue is associated with deficiencies of vitamin B and iron.
Rationale 3: Red and swollen tonsils are associated with tonsillitis
Rationale 4: Oral cancers are most commonly found on the lower lip or the base of the tongue. They do not heal normally.
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