The nurse is instructing a mother how to administer oral nystatin suspension prescribed to treat thrush. What will the nurse include?
Squirt the prescribed dose into the back of the mouth and have the infant swallow
Give the medication mixed with a small amount of juice in a bottle
Use a sterile applicator to swab the medication on the oral mucosa
Pour the prescribed amount into a nipple and have the infant suck the medication
The Correct Answer is C
Choice A reason: Squirting nystatin into the back of the mouth for swallowing reduces contact with oral mucosa, where Candida albicans causes thrush. Swabbing ensures prolonged antifungal exposure to infected areas, enhancing efficacy. Swallowing is less effective, as it bypasses the site of infection, making this an incorrect administration method.
Choice B reason: Mixing nystatin with juice in a bottle dilutes the medication and reduces contact time with oral mucosa, decreasing antifungal efficacy against thrush. Juice sugars may promote yeast growth. Swabbing directly applies nystatin to affected areas, making mixing with juice an incorrect and ineffective administration method.
Choice C reason: Swabbing nystatin on the oral mucosa with a sterile applicator ensures direct contact with Candida-infected areas, maximizing antifungal action. This method treats thrush by allowing prolonged exposure to the medication, reducing yeast overgrowth in the infant’s mouth, making it the correct technique for effective administration and infection resolution.
Choice D reason: Pouring nystatin into a nipple for sucking reduces contact with oral mucosa, as much of the dose may be swallowed quickly. This decreases antifungal efficacy against thrush, which requires direct mucosal application. Swabbing is preferred, making this an incorrect method for administering nystatin in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.8"]
Explanation
Step 1 is to convert pounds to kilograms: (22 ÷ 2.2) = 10 Result = 10 kg
Step 2 is to calculate the total daily dose in mg: 10 × 1.5 = 15 Result = 15 mg/day
Step 3 is to determine the number of doses per day when given every 6 hours: 24 ÷ 6 = 4 Result = 4 doses/day
Step 4 is to divide the total daily dose by number of doses: 15 ÷ 4 = 3.75 Result = 3.75 mg per dose
Step 5 is to calculate volume in mL: (3.75 ÷ 1) = 3.75 Result = 3.75 mL
Step 6 is to round to the nearest tenth: 3.75 rounds to 3.8
Correct Answer is D
Explanation
Choice A reason: Right-side positioning after feeding may reduce reflux in some infants but is less effective than upright positioning, which uses gravity to keep stomach contents down. Right-side lying also poses a sudden infant death syndrome risk, making it less ideal than upright positioning for managing gastroesophageal reflux in infants.
Choice B reason: Prone positioning is contraindicated for infants due to increased sudden infant death syndrome risk. It does not effectively reduce gastroesophageal reflux compared to upright positioning, which leverages gravity to prevent regurgitation. Prone positioning is unsafe and not recommended, making it an incorrect choice for reflux management.
Choice C reason: Left-side positioning is not optimal for gastroesophageal reflux, as it may not prevent stomach contents from refluxing into the esophagus. Upright positioning is more effective, using gravity to minimize regurgitation and esophagitis. Left-side lying also carries sleep-related risks, making it less appropriate than upright positioning.
Choice D reason: Upright positioning after feeding is optimal for gastroesophageal reflux, as gravity keeps stomach contents from refluxing into the esophagus, reducing regurgitation and esophageal irritation. This position minimizes aspiration risk and promotes comfort, making it the recommended choice for infants with reflux to prevent complications like esophagitis.
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