A client with pneumonia receiving antibiotic therapy reports white, cheesy patches in the mouth. Which intervention should the nurse implement?

Allow the client to verbalize feelings about having the white patches.

Explain the patches will go away on their own in about 2 weeks.

Instruct to rinse the mouth with diluted hydrogen peroxide and water daily.

Notify the health care provider to obtain an antifungal medication.

Answer and Explanation

The Correct Answer is D

A.   While it's important for clients to express their feelings and concerns, this intervention does not directly address the issue of the white patches or the potential infection. It may provide emotional support, but it does not contribute to resolving the clinical problem.
B.   While some mild cases may resolve on their own, oral thrush often requires antifungal treatment, especially in immunocompromised patients or those on prolonged antibiotic therapy. Telling the patient that it will go away without treatment could lead to worsening symptoms and complications.
C.   While oral hygiene is important, rinsing with diluted hydrogen peroxide is not the standard treatment for oral thrush. This method could cause irritation and may not effectively eliminate the fungal infection. Other rinses (like saline) might be more appropriate for general oral care but would not address the underlying candidiasis.
D.   White, cheesy patches in the mouth suggest oral thrush, which is commonly treated with antifungal medications (such as fluconazole or nystatin).

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Correct Answer is D

Explanation

A. While allergies can impact a patient's overall health, they are not directly related to the development of peptic ulcer disease. Allergies do not contribute to the mechanisms that cause ulcers, such as increased stomach acid or mucosal damage.
B. Poor oral hygiene can lead to dental problems and infections, but it is not a recognized risk factor for peptic ulcer disease. The main causes of peptic ulcers are related to factors that affect the stomach lining, such as certain medications, lifestyle choices, and infections.
C. While diet can influence gastrointestinal health, sugary foods are not a primary risk factor for peptic ulcers. The role of sugar in ulcer development is not well established compared to other factors, such as the use of certain medications or the presence of H. pylori infection.
D. This statement is correct and is a significant risk factor for developing peptic ulcer disease. NSAIDs can cause irritation of the stomach lining and inhibit the production of protective mucus, leading to ulcer formation. Chronic use of NSAIDs is one of the most common causes of peptic ulcers.

A. Alternate hot and cold packs to affected joints. B. Take prescribed anti-inflammatory medications with meals. C. Avoid exercise because it fatigues the joints. D. Avoid weight-bearing activity.

Correct Answer is D

Explanation

A. While this can be helpful for managing pain and inflammation, it's not a universal recommendation and should be discussed with a healthcare provider.
B. This is important to prevent stomach upset, a common side effect of many anti-inflammatory medications.
C. Regular, low-impact exercise is crucial for maintaining joint function and reducing stiffness in people with rheumatoid arthritis.
D. While weight-bearing activities might need to be modified or avoided during flare-ups, complete avoidance of weight-bearing activity can lead to muscle weakness and further joint problems.

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A client with pneumonia receiving antibiotic therapy reports white, cheesy patches in the mouth. Which intervention should the nurse implement?

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Naxlex Comprehensive Predictor Exams

The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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