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.”

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Standard Precautions: These are appropriate for hepatitis B since the virus is primarily transmitted through blood and body fluids. Hand hygiene and gloves are sufficient unless there is an additional infection requiring other precautions.

B. Respiratory precautions: Not needed as hepatitis B is not airborne or droplet-transmitted.

C. Reverse isolation: This is used for immunocompromised patients, not for patients with hepatitis B.

D. Enteric precautions: These are used for infections spread via the fecal-oral route, such as Clostridioides difficile, not hepatitis B.

A. Mucositis B. Canker sores C. Thrush D. Cold sores

Correct Answer is C

Explanation

A. Mucositis: This refers to painful inflammation and ulceration of the mucous membranes, often without plaques.

B. Canker sores: These are small, shallow ulcers with a yellowish center and red border, not white plaques.

C. Thrush: Thrush is an oral fungal infection (caused by Candida albicans) characterized by white, milk-curd-like plaques on the mucosa.

D. Cold sores: Cold sores are caused by herpes simplex virus and appear as blisters, not white plaques.

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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?

Nursing Test Bank

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Correct Answer is A

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Correct Answer is C

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