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.

Answer and Explanation

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.

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Correct Answer is E

Explanation

Gentamicin is an example of a concentration-dependent antimicrobial, which means that it achieves increasing bacterial kill with increasing levels of drug.The peak concentration and the area under the concentration curve (AUC) determine the efficacy of these antibiotics.Other examples of concentration-dependent antimicrobials include fluoroquinolones, daptomycin, aminoglycosides, and amphotericin

Choice A is wrong because ciprofloxacin is a fluoroquinolone, which is also a concentration-dependent antimicrobial.

Choice B is wrong because imipenem is a carbapenem, which is a type of beta-lactam antibiotic.Beta-lactams are time-dependent antimicrobials, which means that their bactericidal activity depends on the duration of the effective concentration.

Choice C is wrong because penicillin V is another type of beta-lactam antibiotic, which is also a time-dependent antimicrobial.

Choice D is wrong because metronidazole is a bactericidal agent that has both time- and concentration-dependent properties.However, it is not classified as a concentration-dependent antimicrobial according to the AMEG categorization of antibiotics in the European Union.

A. Photosensitivity B. Tooth discoloration C. Hepatic impairment D. Superinfection E. Bone marrow suppression.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which antibiotics are classified as concentration-dependent antimicrobials?

Correct Answer is E

Explanation

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Correct Answer is ["A","D"]

Explanation

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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?