A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?
I need to drink room temperature beverages.
I can take a prescribed analgesic to help manage the pain.
I need to be careful not to spread this to my family.
The chemotherapy affected my immune system.
The Correct Answer is C
Choice A rationale
Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.
Choice B rationale
Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.
Choice C rationale
Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.
Choice D rationale
Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.
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Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
A nagging cough is one of the seven warning signs of cancer. Persistent coughing or hoarseness can indicate lung cancer or other cancers affecting the respiratory system. It is important to investigate any chronic cough that does not resolve with standard treatment.
Choice B rationale
A non-healing sore is another warning sign of cancer. Sores that do not heal, especially in the mouth or on the skin, can be indicative of skin cancer or oral cancer. These sores may bleed, ooze, or become crusty and should be evaluated by a healthcare provider.
Choice C rationale
A change in moles is a significant warning sign of skin cancer, particularly melanoma. Changes in size, shape, color, or texture of a mole, or the appearance of new moles, should be assessed by a healthcare provider. Early detection of skin changes can lead to prompt treatment and better outcomes.
Choice D rationale
A change in bowel pattern is a warning sign of colorectal cancer. Symptoms such as persistent diarrhea, constipation, or changes in stool consistency or color can indicate an underlying malignancy in the digestive tract. It is important to seek medical evaluation for any unexplained changes in bowel habits.
Choice E rationale
Bloating is not typically included in the seven warning signs of cancer. While bloating can be a symptom of various conditions, including ovarian cancer, it is not one of the primary warning signs used to identify cancer. The focus should be on the more specific signs listed above.
Correct Answer is D
Explanation
Choice A rationale
Actinic keratosis is a precancerous condition that appears as rough, scaly patches on sun-exposed skin.
Choice B rationale
Malignant melanoma is a more aggressive form of skin cancer that often appears as a new, unusual growth or a change in an existing mole.
Choice C rationale
Squamous cell carcinoma typically appears as a firm, red nodule or a flat lesion with a scaly, crusted surface.
Choice D rationale
Basal cell carcinoma often appears as a raised, flesh-colored lesion with pearly and waxy borders. It is the most common type of skin cancer and typically occurs in areas exposed to the sun.