Difficulty: Medium
Average Score: 89%
Practice
Which of the following assessment findings would the nurse be most concerned about?
Correct answer
D
Rationale
The correct answer is D, an ulceration with rolled edges on the side of the tongue, as it could indicate a possible malignancy such as oral cancer. The presence of rolled edges is concerning for malignancy due to the irregularity in shape and potential for rapid growth. This finding should be promptly investigated to rule out cancer.
A: A painful vesicle inside the cheek for 2 days is likely a benign condition such as a canker sore.
B: The presence of moist, nontender Stenson's ducts is a normal finding in the mouth.
C: Stippled gingival margins that adhere snugly to the teeth could indicate a healthy gum tissue attachment.
In summary, the other choices are less concerning as they are either benign or normal variations, while the presence of an ulceration with rolled edges raises significant suspicion for malignancy.
A: A painful vesicle inside the cheek for 2 days is likely a benign condition such as a canker sore.
B: The presence of moist, nontender Stenson's ducts is a normal finding in the mouth.
C: Stippled gingival margins that adhere snugly to the teeth could indicate a healthy gum tissue attachment.
In summary, the other choices are less concerning as they are either benign or normal variations, while the presence of an ulceration with rolled edges raises significant suspicion for malignancy.