The nurse is performing an assessment. Which of these findings would cause the greatest concern?
a. Painful vesicle inside the cheek for 2 days
b. Presence of moist, nontender Stensen's ducts
c. Stippled gingival margins that snugly adhere to the teeth
d. Ulceration on the side of the tongue with rolled edges
ANS: D
Ulceration on the side or base of the tongue or under the tongue raises the suspicion of cancer and must be investigated. The risk of early metastasis is present because of rich lymphatic drainage. The vesicle may be an aphthous ulcer, which is painful but not dangerous. The other responses are normal findings.
You might also like to view...
When teaching a client about how griseofulvin should be administered, the nurse should instruct the client to take the drug with:
a. vitamin D. c. an antacid. b. a fatty meal. d. orange juice.
A person tells you that he is afraid of surgery because his uncle had a lot of pain after his hip surgery. What should you do?
a. Tell the person not to worry. b. Change the subject. c. Call the person's doctor. d. Report the person's concerns to the nurse.
The physician orders 1000 mL of D5RL with 20 mmol KCl to run for eight hours. With an infusion set with a drop factor of 15 gtt/mL, which of the following flow rates will the nurse calculate?
a. 11 gtt/minute b. 22 gtt/minute c. 31 gtt/minute d. 42 gtt/minute
Which of the following safety hazards affects a developing fetus?
A) Recreational activities B) Banging into objects C) Bicycle rides D) X-rays