A nurse is reinforcing teaching with an adolescent client who has oral candidiasis and a new prescription for clotrimazole troche. Which of the following instructions should the nurse include in the teaching?
"Place the medication in the refrigerator after each use."
"Be sure to let the troche dissolve in your mouth for 15 minutes."
"Crush the troche before mixing it with applesauce."
"Stop the medication if white patches appear in your mouth."
The Correct Answer is B
Rationale:
A) Clotrimazole troches do not require refrigeration after each use.
B) Clotrimazole troches are meant to be dissolved slowly in the mouth over a period of time, typically around 15 to 30 minutes, for optimal effectiveness.
C) Crushing the troche and mixing it with applesauce may alter the medication's effectiveness and is not recommended.
D) White patches appearing in the mouth may indicate the persistence or worsening of oral candidiasis, and stopping the medication would be inappropriate without consulting a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A) Loosening restrictive clothing prevents injury during the seizure.
B) Hyperextending the child's neck can cause injury and should be avoided. Instead, the neck should be supported to maintain an open airway.
C) Timing the seizure episode is important for documenting the duration and for providing accurate information to healthcare providers.
D) Placing the child in a side-lying position helps prevent aspiration and maintains an open airway during the seizure.
E) Restraint should not be applied during a seizure unless absolutely necessary to prevent injury to the child or others.
Correct Answer is D
Explanation
Rationale:
A. Skin turgor assessment is important in assessing dehydration, but the priority is addressing the tachycardia first.
B. Potassium level is important in managing electrolyte imbalance in gastroenteritis, but the priority is addressing the elevated heart rate first.
C. Capillary refill is an important assessment for circulation, but the priority is addressing the elevated heart rate first.
D. The elevated heart rate (tachycardia) indicates increased workload on the heart, likely due to dehydration or other complications of gastroenteritis. This requires immediate attention to stabilize the infant's condition.
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