Author Question: The nurse notes the presence of white lesions that resemble milk curds in the back of a patient's ... (Read 29 times)

Awilson837 · **on:** Jun 25, 2018

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?

Question 2

The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?

a. 5-FU will shrink the lesion so that less scarring occurs once the lesion is excised.
b. You may develop nausea and anorexia, but good nutrition is important during treatment.
c. You will need to avoid crowds because of the risk for infection caused by chemotherapy.
d. Your cheek area will be painful and develop eroded areas that will take weeks to heal.

coreycathey · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: D
Topical 5-FU causes an initial reaction of erythema, itching, and erosion that lasts 4 weeks after application of the medication is stopped. The medication is topical, so there are no systemic effects such as increased infection risk, anorexia, or nausea.