A whitish covering on an infant's tongue that cannot be wiped away is consistent with:
herpes simplex.
oral candidiasis.
a normal finding in an infant.
poor oral care.
The Correct Answer is B
Rationale:
A. Herpes simplex in infants typically presents with painful vesicles and sometimes systemic symptoms, not a persistent whitish coating.
B. Oral candidiasis (thrush) presents as a white, curd-like coating on the tongue, gums, or inner cheeks that cannot be wiped away. It is caused by an overgrowth of Candida species and is common in young infants.
C. A normal coating in infants (milk residue) is easily wiped away and does not persist.
D. Poor oral care may cause debris or plaque later in infancy but is not the cause of persistent white plaques in young infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Hourly urine output helps monitor ongoing fluid status but is not the primary factor for calculating initial fluid replacement.
B. The percentage of weight loss is the most important factor for determining the degree of dehydration and the corresponding rate of fluid replacement. It provides an objective measure of fluid deficit and guides accurate rehydration.
C. Clinical signs of dehydration (e.g., dry mucous membranes, poor skin turgor) are useful for assessment but are less precise than weight loss for calculating fluid needs.
D. The type of dehydration based on serum sodium concentrations influences the composition of fluids (isotonic, hypotonic, hypertonic) rather than the overall rate of replacement.
Correct Answer is A
Explanation
Rationale:
A. The CDC recommends that the HPV vaccine series be initiated in males at ages 11–12 years for optimal immunogenic response and before potential exposure to HPV through sexual activity.
B. While vaccination between ages 13 and 16 is still effective, it is considered a catch-up period rather than the recommended age for routine initiation.
C. Ages 13–26 include catch-up vaccination for those who were not vaccinated earlier, but this is not the routine initial recommendation.
D. Age 8–9 is earlier than the recommended age for HPV vaccination and is generally not indicated unless specific high-risk factors are present.
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