A 35 years old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)?
A. White, cottage cheese-like patches on the tongue
B. Yellow tooth discoloration
C. Red, open sores on the oral mucosa
D. Rust-colored sputum
Answer: C
Explanation: The tissue-destructive effects of cancer chemotherapy typically cause stomatitis, resulting in ulcers on the oral mucosa that appear as red, open sores. White, cottage cheese-like patches on the tongue suggest a candidal infection, another common adverse effect of chemotherapy. Yellow tooth discoloration may result from antibiotic therapy, not cancer chemotherapy. Rust-colored sputum suggests a respiratory disorder, such as pneumonia.
You might also like to view...
The nurse assesses an enlarged thyroid in a patient during the physical examination of the head and neck. What should the nurse do next?
A) Displace the trachea to the right. B) Listen over the thyroid with a stethoscope. C) Ask the patient to sip and swallow water. D) Ask the patient to flex the neck forward.
Which of the following nursing interventions is appropriate when a client has a seizure?
A) Restrain the client. B) Loosen any clothing around the neck and chest. C) Insert a tongue blade into the client's mouth. D) Turn the client to the supine position, if possible.
A reviewer critically appraising a study about self-care behaviors of adolescents who have cystic fibrosis evaluates comparisons of this sample to those from studies of young adults with cystic fibrosis. This appraiser is evaluating the
a. credibility and meaning of the study. b. framework and key concepts of the study. c. limitations of the study. d. reliability and validity of the study.
An older patient is suffering from an inadequate oxygen supply during physical activity. Which of the following nursing actions would be inappropriate?
1. Assessing the patient for pallor and cyanosis during activity 2. Grouping nursing tasks together in short sessions to avoid constantly interrupting the patient 3. Encouraging the patient to increase activity as tolerated to improve stamina 4. Assessing the patient's oxygen saturation level