While performing an assessment of the mouth, the nurse notices that the patient has a 1-cm ulceration that is crusted with an elevated border and located on the outer third of the lower lip

What other information would be most important for the nurse to assess?
a.
Nutritional status
b.
When the patient first noticed the lesion
c.
Whether the patient has had a recent cold
d.
Whether the patient has had any recent exposure to sick animals


ANS: B
With carcinoma, the initial lesion is round and indurated, but then it becomes crusted and ulcerated with an elevated border. Most cancers occur between the outer and middle thirds of the lip. Any lesion that is still unhealed after 2 weeks should be referred.

Nursing

You might also like to view...

The nurse is planning care for a client who is experiencing confusion. Which action by the nurse ensures safety for this client?

A) Keep the windows in the client's room closed. B) Keep the side rails up on the bed when the client is with a staff member. C) Place the call bell next to the client. D) Administer ordered medication.

Nursing

When teaching an older patient about the side effects of furosemide (Lasix), the nurse should instruct the patient to eat foods high in which mineral?

1. Iron 2. Sodium 3. Calcium 4. Potassium

Nursing

Which of the following factor(s) is/are known to affect an individual's response to a drug?

a. age. b. sex. c. genetic factors. d. all of the above.

Nursing

The nurse is teaching a patient how to use a metered-dose inhaler without a spacer. Which action by the patient demonstrates correct use of the device?

a. Being careful not to shake the canister b. Positioning the mouthpiece in front of the mouth while not touching the lips c. Depressing the canister fully, waiting 3 to 5 seconds, then inhaling slowly and deeply d. Taking another puff of the medication within 10 seconds

Nursing