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. Encouraging the client to proceed with the surgery may dismiss their valid fears and does not address the underlying emotional concerns. It is important to acknowledge the client’s feelings rather than pressuring them to continue.
B. Notifying the charge nurse of the client’s concerns ensures that the client’s emotional state and any potential issues with informed consent are addressed appropriately. The charge nurse can facilitate further discussion with the surgical team to ensure the client’s concerns are managed and that the consent remains valid.
C. Documenting the client’s concerns is important for legal and clinical reasons, but it does not address the client’s immediate emotional needs or resolve their fears. The priority is to ensure the client’s concerns are addressed and escalated if necessary.
D. Reminding the client that consent has already been obtained does not validate their current emotional concerns and can be dismissive. The focus should be on addressing the client’s anxiety and exploring their concerns.

A. Acceleration. B. Nonreactive pattern. C. Fetal movement. D. Positive tracing.

Correct Answer is A

Explanation

A. Acceleration refers to a temporary increase in the fetal heart rate of at least 15 beats per minute above the baseline for at least 10 seconds. The observation of the fetal heart rate increasing 15 beats above baseline twice during the test indicates that accelerations are present, which is a reassuring sign of fetal well-being.
B. A nonreactive pattern would indicate that the test did not meet the criteria for accelerations or fetal heart rate reactivity, which is not the case here as the fetal heart rate did exhibit accelerations.
C. Fetal movement could contribute to accelerations but is not the term used to describe the findings of the test itself. The specific observation made was an increase in fetal heart rate, which is classified as an acceleration.
D. A positive tracing indicates that the nonstress test met criteria for fetal well-being, typically with at least two accelerations, but the correct term for the specific observation here is acceleration rather than describing the overall result.

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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

A preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) of being really frightened and unsure about undergoing the surgery. Which priority action should the PN take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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