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. Re-assessing the client’s temperature is important but not the priority action since the client is currently afebrile and the cough with yellow sputum could indicate an infection or other condition needing immediate attention.
B. Notifying the charge nurse of the assessment findings is the priority because the yellow-tinged sputum in a client receiving chemotherapy might indicate an infection or complication that requires further investigation and possible intervention.
C. Measuring and recording intake and output is important for overall fluid balance but does not address the immediate concern of a productive cough with potential infection.
D. Providing regular oral hygiene is part of general care but does not address the potential underlying cause of the productive cough and yellow-tinged sputum.

A. Administer a prescribed PRN benzodiazepine at the onset of a confused state. B. Ensure that the client is assigned to a room close to the nurses' station. C. Postpone administration of nighttime medications until after 2300. D. Ask family members to remain with the client in the evenings from 1700 to 2000.

Correct Answer is B

Explanation

A. Administering a PRN benzodiazepine is a reactive measure and might not be the best first line of intervention for managing the client's restlessness and confusion, as it does not address the underlying issue.
B. Assigning the client to a room close to the nurses' station can help manage restlessness, confusion, and agitation by ensuring the client is monitored more closely and can receive timely interventions.
C. Postponing nighttime medications might not address the immediate issues of restlessness and confusion, and could potentially disrupt the client's sleep-wake cycle.
D. Asking family members to stay with the client provides support but may not be a feasible or consistent solution for managing the client’s evening agitation and restlessness.

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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 client receiving chemotherapy develops a cough that is productive of yellow-tinged sputum. After determining that the client is afebrile, which is the priority action for the practical nurse (PN) to take?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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