The nurse notes the presence of white lesions that resemble milk curds in the back of a patient's throat. Which question by the nurse is appropriate at this time?
a. "Do you have a productive cough?"
b. "How often do you brush your teeth?"
c. "Are you taking any medications at present?"
d. "Have you ever had an oral herpes infection?"
ANS: C
The appearance of the lesions is consistent with an oral candidiasis (thrush) infection, which can occur in patients who are taking medications such as immunosuppressants or antibiotics. Candidiasis is not associated with poor oral hygiene or lower respiratory infections. The lesions do not look like an oral herpes infection.
You might also like to view...
A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
a. Assess the client's blood pressure. b. Perform hand hygiene and apply gloves. c. Reinforce the dressing with a clean one. d. Remove the dressing to assess the wound.
Round off the following decimal to the nearest hundredth
2.457 = _____
The physician has asked the office nurse to visit with a patient who has an STI. The nurse enters the examination room and states: "I don't know why the doctor asked me to tell you about STIs. You'll just go out and get another one
" This nurse is: 1. stating a fact published in journals. 2. trying to get the patient's attention. 3. not informed on current statistics. 4. making a judgmental statement.
A nurse assesses the gestational age of a newborn. She explains to the parents that the newborn is premature. All of the following assessment findings are congruent with prematurity except:
1. Cry is weak and feeble. 2. Clitoris and labia minora are prominent. 3. Strong sucking reflex. 4. Lanugo is plentiful.