In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

Irrigate the infected area with medicated solution after applying sterile gloves.

Draw up the medication in a needle-less syringe which the infant can suck.

Use a gloved finger to rub the suspension over the infected area.

Measure the prescribed amount of solution into the infant's bottle.

Answer and Explanation

The Correct Answer is C

A. Irrigating the infected area with a medicated solution is not appropriate for nystatin suspension, which should be applied directly to the infected area. Additionally, sterile gloves are not required for this procedure.
B. Drawing up the medication in a needle-less syringe for the infant to suck is not an effective method for nystatin administration. The medication must be applied directly to the infected area to be effective.
C. Using a gloved finger to rub the suspension over the infected area is the correct method for applying nystatin. This direct application ensures that the medication comes into contact with the infection and is most effective for treating oral candida.
D. Measuring the medication into the infant’s bottle does not ensure that the nystatin is applied to the infected area and may result in the medication being swallowed rather than effectively treating the candida infection.

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Correct Answer is B

Explanation

A. While knowing the number of tablets taken is important for managing chest pain, it is secondary to ensuring that the client can safely administer the medication.
B. Assessing the client's level of orientation and compliance is crucial because the client needs to understand how and when to use the nitroglycerin properly. Misunderstanding or non-compliance could lead to ineffective treatment or potential harm.
C. Checking heart rate and blood pressure is important for assessing the effects of nitroglycerin, but before leaving the medication for self-administration, it is vital to ensure that the client understands how to use the medication.
D. Monitoring hourly urinary output and daily weight is not relevant to the immediate concern of ensuring safe and effective nitroglycerin self-administration.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Response 1

A. Fluid volume deficit
The client has signs of dehydration such as dry mucous membranes and a recent history of not having much to eat or drink in the past 2 days, which indicates a fluid volume deficit.

B. Respiratory alkalosis
There is no evidence to support respiratory alkalosis. The client's primary issues are related to infection and dehydration.

C. Hypoxia
The client’s oxygen saturation is 100% on 2 L/minute nasal cannula, so hypoxia is not a current issue.

D. Diarrhea
Diarrhea is not mentioned in the history, symptoms, or findings. It is not relevant to the client's condition.

Response 2

A. Decreased fluid intake
The client has not had much to eat or drink in the past 2 days, contributing directly to the fluid volume deficit.

B. Increased respiratory rate
While the client has an increased respiratory rate, it is a symptom of pneumonia rather than a cause of fluid volume deficit.

C. Infection
Although the client has pneumonia, the fluid volume deficit is more directly related to decreased fluid intake than to infection.

D. Heart disease
Heart disease is not mentioned and is not relevant to the client’s current presentation.

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In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Exhibits The client likely has dropdown related to dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

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