A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?
"I will give my baby the medication just before a feeding."
"I will swab the medication inside my baby's mouth and on her tongue."
"I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin."
"I will mix my baby's medication in a clear liquid and put it in her bottle.”
The Correct Answer is B
A. "I will give my baby the medication just before a feeding.": Nystatin should be given after feedings to ensure it stays in the mouth long enough to work effectively.
B. "I will swab the medication inside my baby's mouth and on her tongue.": Nystatin should be applied directly to the affected areas in the mouth (e.g., tongue, cheeks) using a swab or applicator.
C. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin.": Cleaning the white patches could remove the medication before it has a chance to work, so this is not recommended.
D. "I will mix my baby's medication in a clear liquid and put it in her bottle.": Mixing the medication in a bottle can make it less effective, as it may not stay in the mouth long enough to treat the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.
B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.
C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.
D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.
Correct Answer is C
Explanation
A. Lying down 1 hour after eating: Lying down after eating can worsen symptoms of heartburn and acid reflux, so it is generally discouraged for patients with hiatal hernia.
B. Eating three well-balanced meals: While eating balanced meals is important, it's not specifically recommended for reducing heartburn or regurgitation in patients with a hiatal hernia. Smaller, more frequent meals are generally better.
C. Eating nothing for several hours before bedtime: Avoiding food for several hours before bedtime allows the stomach to empty, reducing the risk of acid reflux, heartburn, and regurgitation.
D. Sleeping without pillows: Patients with hiatal hernias are often advised to sleep with the head elevated (using pillows) to prevent acid reflux while sleeping.
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