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 C

Explanation

A. Rhinitis, or nasal inflammation, can occur in various respiratory infections but is not a primary symptom of bacterial pneumonia. While some children with pneumonia may have nasal congestion or a runny nose, it is not a defining characteristic of pneumonia.
B. Hemoptysis, or coughing up blood, is not a common symptom of bacterial pneumonia, especially in children. While it can occur in severe cases or specific types of pneumonia, it is not typically expected during the initial assessment of bacterial pneumonia in pediatric patients.
C. A high fever is a common and expected symptom in children with bacterial pneumonia. The body’s response to the infection often includes elevated temperatures, and fever is one of the key signs that healthcare providers look for when diagnosing pneumonia.
D. Constipation is not a symptom associated with bacterial pneumonia. While general illness can affect bowel habits, constipation is not typically seen in patients with pneumonia. The focus of the assessment would be on respiratory symptoms rather than gastrointestinal issues.

A. A 33-year-old daycare worker at a high-risk center. B. A 54-year-old nurse working in a nursing home. C. A 16-year-old female high school student. D. A 43-year-old homeless man with a history of alcoholism.

Correct Answer is D

Explanation

A. While daycare workers can be at risk for various infections, they are not typically considered at high risk for TB unless they are in close contact with TB-positive individuals. Therefore, this option does not present the highest likelihood of TB.
B. This individual is at a moderate risk for TB, especially if they are caring for patients with known TB or are in an environment where TB may be more prevalent. However, nursing homes are more often associated with other infections rather than being primary sources for TB outbreaks.
C. High school students are generally not at high risk for TB unless they have specific exposure or travel history. Without additional risk factors, this group does not exhibit a high likelihood of TB.
D. This option represents the highest likelihood of TB. Homeless individuals are at increased risk for TB due to factors such as crowded living conditions, poor nutrition, and lack of access to healthcare.

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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

A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer is C

Explanation

The nurse is working in an outpatient clinic. The clinic has been alerted that there is an outbreak of tuberculosis (TB). Which of the following clients entering the clinic today are most likely to have TB?

Correct Answer is D

Explanation

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