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 ["B","C","D"]
Explanation
Choice A is wrong because azithromycin (Zithromax) should be takenwith foodto prevent stomach upset.
Choice B is correct because azithromycin can causeliver damageand the client should report any signs ofjaundiceordark urineas they may indicate liver problems.
Choice C is correct because azithromycin can interact withgrapefruit juiceand increase the risk ofside effectssuch as nausea, vomiting, diarrhea, headache and QT interval prolongation.
Choice D is correct because the client shouldcomplete the full course of therapyas prescribed to prevent bacterial resistance and recurrence of infection.
Choice E is wrong because azithromycin should be stored in arefrigeratorand discarded after 10 days if it is in a liquid form.
Correct Answer is C
Explanation
A Mazzotti reaction is a severe inflammatory response that can occur after taking ivermectin for onchocerciasis (river blindness), a parasitic infection caused by Onchocerca volvulus.The reaction is due to the death of the microfilariae (larvae) of the parasite and can cause fever, rash, itching, joint pain, swollen lymph nodes, and eye inflammation.
Choice A is wrong because hypertension is not a common adverse effect of ivermectin.Hypotension, however, can occur in some cases.
Choice B is wrong because tinnitus is not a common adverse effect of ivermectin.Tinnitus is a ringing or buzzing sound in the ears that can be caused by various factors, such as exposure to loud noise, ear infections, or certain medications.
Choice D is wrong because Stevens-Johnson syndrome is not a common adverse effect of ivermectin.
Stevens-Johnson syndrome is a rare but serious skin reaction that can be triggered by infections or medications.
It causes blisters and peeling of the skin and mucous membranes.
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