A nurse is caring for a client who has oral candidiasis and is prescribed nystatin suspension.
Which of the following actions should the nurse take?
Instruct the client to swish and swallow the medication
Administer the medication with a dropper to avoid aspiration
Dilute the medication with water before giving it to the client
Give the medication after meals to increase its effectiveness.
The Correct Answer is A
This is because nystatin suspension is an antifungal medication that works by coating the oral mucosa and killing the candida organisms. Swishing and swallowing the medication ensures that it reaches all the affected areas in the mouth and throat.
Choice B is wrong because administering the medication with a dropper to avoid aspiration is not necessary for a client who has oral candidiasis.
The client should be able to swish and swallow the medication without difficulty.
Choice C is wrong because diluting the medication with water before giving it to the client reduces its effectiveness and concentration.
The medication should be given undiluted for optimal results.
Choice D is wrong because giving the medication after meals to increase its effectiveness is not accurate. The medication should be given at least 30 minutes before or after meals to avoid interference with food or beverages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Tetracycline can causephotosensitivity, which means increased sensitivity to sunlight and risk of sunburn.It can also causesuperinfection, which means overgrowth of resistant bacteria or fungi in the mouth, intestines, or vagina.
Choice B is wrong because tetracycline can causetooth discolorationin children under 8 years old, not in adults.
Choice C is wrong because tetracycline can causehepatic impairmentonly in patients with preexisting liver disease or who take high doses for a long time.
Choice E is wrong because tetracycline can causebone marrow suppressiononly in patients with preexisting blood disorders or who take high doses for a long time.
Correct Answer is A
Explanation
This is because itraconazole can cause renal impairment and decreased urine output as an adverse effect.A normal serum creatinine level is 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females.
Choice B is wrong because decreased serum potassium level is not an adverse effect of itraconazole.Itraconazole can cause hypokalemia, which is a low level of potassium in the blood, but this is usually due to fluid retention and heart failure caused by the drug.A normal serum potassium level is 3.5 to 5.0 mEq/L.
Choice C is wrong because increased serum glucose level is not an adverse effect of itraconazole.Itraconazole can cause hyperglycemia, which is a high level of glucose in the blood, but this is usually due to diabetes mellitus or steroid use in patients taking the drug.A normal serum glucose level is 70 to 100 mg/dL.
Choice D is wrong because decreased white blood cell count is not an adverse effect of itraconazole.Itraconazole can cause leukopenia, which is a low level of white blood cells in the blood, but this is usually due to bone marrow suppression or infection in patients taking the drug.A normal white blood cell count is 4,500 to 11,000 cells/mm3.
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