Nokea
A nurse is caring for a 4-month-old infant with thrush (candidiasis) who is breastfed.
- A. "Administer the prescribed nystatin (Mycostatin) for 2 to 3 days after the lesions disappear."'
- B. "Place the infant on a soy-based formula to supplement breastfeeding until thrush is resolved."'
- C. "Discontinue breastfeeding and resume 48 hr after the last lesion disappears."'
- D. "Scrape off the white patches of thrush from the oral mucous membrane with a tongue depressor."'
Correct Answer: A
Rationale: Correct Answer: A
Rationale: Nystatin is an antifungal medication commonly used to treat thrush in infants. It is safe for infants and effective against Candida. The treatment should be continued for 2 to 3 days after the lesions disappear to ensure complete eradication of the infection. Discontinuing the medication prematurely can lead to a recurrence of thrush.
Summary of other choices:
B: Switching to a soy-based formula is unnecessary and does not address the thrush infection directly.
C: Discontinuing breastfeeding is not necessary and can disrupt the infant's feeding routine.
D: Scraping off the white patches can cause trauma to the oral mucosa and should be avoided.
You may also like to solve these questions
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
- A. Administer antiviral medication
- B. Schedule an ultrasound examination
- C. Administer Haemophilus influenza type b vaccine
- D. Schedule an indirect Coombs’ test
Correct Answer: B
Rationale: The correct answer is B: Schedule an ultrasound examination. Parvovirus B19 in pregnancy can lead to complications such as fetal hydrops. An ultrasound can monitor fetal well-being and detect any abnormalities. Administering antiviral medication (A) is not typically recommended for parvovirus B19. Administering the Haemophilus influenza type b vaccine (C) is unrelated to this condition. Performing an indirect Coombs' test (D) is used to detect maternal antibodies in Rh incompatibility, not related to parvovirus B19.
A nurse is caring for a 7-month-old infant with acute bronchiolitis. The infant has a persistent, dry, hacking cough that worsens at night, tachypnea, and weakness. Which of the following actions should the nurse implement?
- A. Administer prescribed cough suppressants as needed.
- B. Place the child on droplet precautions.
- C. Administer antibiotics and corticosteroids as prescribed.
- D. Provide intravenous fluids as prescribed.
Correct Answer: D
Rationale: IV fluids ensure hydration and dilute secretions, which is crucial in bronchiolitis.
A nurse is caring for a child with Wilms' tumor. The parents ask why the sign 'Do not palpate the abdomen' has to be placed on their child's bed. Which of the following is the correct response by the nurse?
- A. Any manipulation of the abdomen can result in pain for your child.
- B. Palpation of the abdomen could cause the tumor to grow.
- C. Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread.
- D. Any manipulation of the abdomen will put pressure on the bladder and cause urine to leak.
Correct Answer: C
Rationale: The correct response is C: Palpation of the abdomen could result in some of the tumor cells breaking loose, causing it to spread. Palpating the abdomen in a child with Wilms' tumor can potentially lead to the dissemination of tumor cells into surrounding tissues and blood vessels, increasing the risk of metastasis. This precaution is crucial to prevent the spread of cancer cells and to contain the tumor within the kidney. Choices A, B, and D are incorrect as they do not address the specific risk associated with manipulating the abdomen in a child with Wilms' tumor. Option A focuses solely on pain, which is not the primary concern in this case. Option B is inaccurate as palpation does not cause tumor growth. Option D is irrelevant to the potential consequences of abdominal manipulation in this context.
In which position should the nurse place the laboring client in order to increase the intensity of the contractions and improve oxygenation to the fetus?
- A. Supine with legs elevated
- B. Squatting
- C. Left side-lying
- D. High Fowler's
Correct Answer: C
Rationale: The correct answer is C, left side-lying position. This position promotes optimal blood flow to the placenta, enhancing oxygenation to the fetus. It also helps prevent compression of the vena cava, ensuring adequate circulation to the mother. Supine position with legs elevated (A) can compress the vena cava, reducing blood flow to the fetus. Squatting (B) may not improve oxygenation to the fetus and can be tiring for the laboring client. High Fowler's position (D) can impede blood flow to the placenta due to compression of abdominal vessels.
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client
- B. Instruct the client to schedule an annual pelvic examination
- C. Tell the client she will start medication for HIV immediately after delivery
- D. Report the client’s condition to the local health department
Correct Answer: D
Rationale: Rationale: Reporting the client's HIV positive status to the local health department is crucial for monitoring and preventing the spread of the infection. This action ensures proper follow-up care, contact tracing, and support services for the client and at-risk individuals. Administering penicillin G (choice A) is not indicated for HIV positive status. Instructing the client to schedule a pelvic examination (choice B) is unrelated to the client's HIV status. Delaying HIV medication until after delivery (choice C) can pose risks to both the mother and the baby.