NUR 2392 MDC II FINAL | 85 QUESTIONS AND CORRECT ANSWERS WITH COMPLETE SOLUTIONS | LATEST 2025
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Course
NUR 2392
Institution
NUR 2392
NUR 2392 MDC II FINAL | 85 QUESTIONS AND CORRECT ANSWERS WITH COMPLETE SOLUTIONS | LATEST 2025
A 72-year-old man has recently been diagnosed with oral cancer. He has been undergoing both radiation and chemotherapy. While visiting his oncologist, he mentions to the nurse that he has lost all of...
NUR 2392 MDC II FINAL QUESTIONS AND
CORRECT ANSWERS WITH COMPLETE
SOLUTIONS | LATEST 2025
A 72-year-old man has recently been diagnosed with oral cancer. He has been
undergoing both radiation and chemotherapy. While visiting his oncologist, he
mentions to the nurse that he has lost all of his hair and that his mouth is very dry.
He also states that he is certain he has a cavity, because one of his teeth is hurting.
What teaching will the nurse provide to decrease the incidence of dry mouth?
A.Consume eight glasses of water daily.
B.See the dentist immediately to get the tooth filled.
C.Brush with a combined mixture of baking soda and salt.
D.Increase dietary intake of grapefruits and oranges, which are high in vitamin C. -
ANSWER ANS: A
Drinking plenty of water will help increase moisture of the tissues. Dental work
should be postponed until the patient gets clearance from the oncologist. Spicy
and/or abrasive foods, such as citrus and salt, should be avoided because they
aggravate dry mouth.
Twenty minutes later after a careful assessment of the patient, the nurse notes
that the patient's SaO2 is 89% and he has crackles scattered bilaterally. The
oncologist decides to admit the patient to an acute care oncology unit, and within
the hour, he is transported to a hospital unit.
,What is the priority nursing intervention upon admission?
A.Start IV normal saline for rehydration.
B.Ask the oncologist for a dental consult.
C.Apply oxygen at 2 L per nasal cannula.
D.Perform frequent oral care with normal saline. - ANSWER ANS: C
Although all of these orders are important, the first priority is airway
management.
Based on the nurse's admission priority for this patient, which interventions
should be implemented? (Select all that apply.)
A.Instruct the patient on how to cough effectively.
B.Humidify the oxygen that the patient is receiving.
C.Teach the patient to use oral suctioning as needed.
D.Ambulate the patient to the end of the hall twice every shift.
E.Monitor cough and gag reflexes with every shift assessment. - ANSWER ANS:
A, B, C, E
The priority on admission is airway management. Although the patient should
ambulate as tolerated, it would be better to start with a shorter distance and
monitor his SaO2 before having him walk longer distances.
,The next day, the patient's daughter tells the nurse that her father refuses to eat
meat because he doesn't like the taste. She asks for advice about increasing his
dietary protein.
What is the appropriate nursing response?
A."I'll ask the oncologist to talk with you about this."
B."Try adding seasonings or using sauces to enhance the taste of meat."
C."Remind your father that protein intake is essential if he is to recover."
D."Radiation can cause changes in taste buds that may be temporary or
permanent." - ANSWER ANS: B
Responses C and D do not address the daughter's question. Response A does not
offer a viable solution to the problem. Adding seasonings, gravies, or sauces can
make meat more palatable. Another suggestion would be to offer other high-
protein food sources such as cheese, milk, eggs, puddings, and legumes.
Two days later, as the patient is preparing for discharge, he discusses some
concerns with the nurse. Which patient statement alerts the nurse to a potential
body image concern?
A."My wife and I are going to a play tonight."
B."My grandchildren don't want to hug me anymore."
C."I am going to fight this cancer with all I've got."
D."Losing my hair gave me a good reason to wear my ball cap collection." -
ANSWER ANS: B
, This statement could indicate that the patient is concerned that his grandchildren
do not want to hug him because of how he looks. The other statements illustrate
that the patient is coping with his condition.
A patient is scheduled to start chemotherapy. What oral cavity problem does the
nurse teach the patient that may occur?
A.Stomatitis
B.Candidiasis
C.Xerostomia
D.Oral abscess - ANSWER ANS: A
Secondary stomatitis generally results from infection by opportunistic viruses,
fungi, or bacteria in patients who are immunocompromised, or it results from
drugs such as chemotherapy. Xerostomia is usually related to radiation in the oral
cavity region. Candidiasis is an opportunistic stomatitis that can be seen in older
adults and other immunocompromised patients. Oral abscess is a potential
complication.
A 23-year-old female patient reports having red, raised lesions at the base of her
tongue and on the inside of her mouth for the past 3 weeks. What priority
assessment question should the nurse ask?
A."Do you smoke cigarettes?"
B."What type of work do you do?"
C."Have you seen a dentist recently?"
D."Do you have a history of human papillomavirus?" - ANSWER ANS: D
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