A nurse assesses a client's oral cavity and observes the condition depicted in the photo below:
What action by the nurse is best?
a.
Ask about the client's human immunodeficiency virus (HIV) status.
b.
Assess the client for dysphagia.
c.
Listen to the client's lung sounds.
d.
Refer the client to an oncologist.
ANS: B
This client has oral candidiasis. If the infection extends down the pharynx, the client could have difficulty swallowing. Therefore, the nurse should assess the client for dysphagia. HIV status may or may not be related but is not the priority. Listening to the lungs is unrelated. Since oral candidiasis is an infectious condition, referral to an oncologist is not needed.
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