A 9-month-old infant is diagnosed with Candida albicans infection in the diaper area. The nurse practitioner appropriately prescribes:
topical aqueous gentian violet 1% applied three times a day for 5 days.
dose-appropriate oral fluconazole (Diflucan) for 7 days.
topical clotrimazole applied 3 times a day for 7 days.
topical hydrocortisone cream 1% applied three times a day for 10 days.
The Correct Answer is C
Rationale:
A. Gentian violet can be used for fungal infections but is less preferred due to staining and potential irritation, especially in infants.
B. Oral fluconazole is generally reserved for severe or widespread Candida infections, or when topical therapy fails; it is not first-line for uncomplicated diaper-area candidiasis.
C. Topical clotrimazole, applied three times daily for 7 days, is the treatment of choice for localized Candida albicans infections in the diaper area. It is effective, safe, and well-tolerated in infants.
D. Topical hydrocortisone may reduce inflammation but does not treat the underlying fungal infection and may worsen Candida overgrowth if used alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Uncomplicated mononucleosis is generally self-limiting, and management focuses on symptom relief. Acetaminophen (or ibuprofen) can be used to manage fever and sore throat.
B. Corticosteroids are reserved for severe complications, such as significant tonsillar hypertrophy causing airway obstruction, and are not indicated for uncomplicated cases.
C. Adolescents with mononucleosis should avoid contact sports or strenuous activity for at least 3–4 weeks, as splenomegaly increases the risk of splenic rupture.
D. Antibiotics like amoxicillin are not indicated and may cause rash in patients with Epstein-Barr virus infection, a hallmark of mononucleosis.
Correct Answer is B
Explanation
Rationale:
A. The varicella vaccine is not indicated after infection, as the child has already developed immunity.
B. Acetaminophen (Tylenol) can be administered to manage fever and discomfort associated with chickenpox. This is supportive care, which is the mainstay of treatment.
C. Retapamulin (Altabax) is a topical antibiotic used for bacterial skin infections, not viral infections like chickenpox.
D. Hydrocortisone cream is generally not recommended for chickenpox lesions due to the risk of secondary infection; soothing measures like calamine lotion or oatmeal baths are preferred for pruritus.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.