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ATI Medical Surgical Nursing, Care of Patients with Oral Cavity Problems

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The nurse is caring for a client who is being discharged following surgery for oral cancer. Which sign is the client instructed to watch for that indicates possible metastasis of the cancer? a. Fr... agile gums that bleed easily b. White patches on the tongue and the back of the throat c. Painful ulcerated lesions on the gums or inside of the cheek d. Small hard lumps on the side of the neck or under the chin ANS: D Cervical lymph nodes that become hardened, enlarged, and fixed in position are indications of metastatic disease. An older adult or a client with a dry mouth may develop fragile gums that bleed easily. White patches on the tongue and the back of throat could be leukoplakia—precancerous lesions that are normally benign. Stomatitis or inflammation of the oral cavity can lead to fragile gums, white patches (candidiasis), and painful open sores throughout the oral cavity, but these conditions are not cancerous. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Health Promotion and Maintenance (Health Screening) MSC: Integrated Process: Nursing Process (Implementation) [Show More]

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