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 B

Explanation

This is because antibiotics act synergistically with the immune system to subdue infection, and it is critical for success that the host defenses are adequate.

Choice A is wrong becauseAge is wrong because age is a general factor that must be considered when choosing any medication, not just antimicrobials.

Choice C is wrong becauseGenetic heritage is wrong because genetic heritage is also a general factor that may affect the metabolism and excretion of medications, not the selection of antimicrobials.

Choice D is wrong becausePrevious medication reactions is wrong because previous medication reactions are also a general factor that may indicate allergies or intolerances to certain medications, not the selection of antimicrobials.

Normal ranges for immune function vary depending on the type and level of immunity measured, such as innate, adaptive, humoral or cellular immunity.Some common tests for immune function include complete blood count (CBC), immunoglobulin levels, complement levels, antibody titers and skin tests.

Normal ranges for these tests depend on the laboratory and the method used, but some examples are:

• CBC: white blood cell count 4.5-11 x 10^9/L; neutrophils 40-75%; lymphocytes 20-50%; monocytes 2-10%; eosinophils 1-6%; basophils 0-2%.

• Immunoglobulin levels: IgG 7-16 g/L; IgA 0.7-4 g/L; IgM 0.4-2.3 g/L; IgE 0-0.4 g/L.

• Complement levels: C3 0.9-1.8 g

A. Take the drug on an empty stomach. B. Avoid dairy products while taking this drug. C. Use sunscreen or avoid exposure to sunlight. D. Drink plenty of fluids while taking this drug. E. Report any vaginal itching or discharge.

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

Explanation

The nurse should include these instructions in the teaching because:

• Tetracycline should be taken on an empty stomach to avoid interference with absorption.

• Dairy products should be avoided while taking this drug because they contain calcium, which can form insoluble complexes with tetracycline and reduce its effectiveness.

• Sunscreen or sun avoidance should be used while taking this drug because it can cause photosensitivity, which increases the risk of sunburn and skin damage.

• Plenty of fluids should be drunk while taking this drug because it can cause nephrotoxicity, which is damage to the kidneys.

Choice E is wrong because vaginal itching or discharge is not a common side effect of tetracycline.It may indicate a superinfection, which is a secondary infection caused by the disruption of normal flora by antibiotics.

This should be reported to the health care provider as soon as possible.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse identifies which host factor as the most important when choosing an antimicrobial drug?

Correct Answer is B

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?

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?