The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what would the nurse say?
a. "We will need to get a biopsy to determine the cause."
b. "This is an overgrowth of hair and will go away in a few days."
c. "Black, hairy tongue is a fungal infection caused by all the antibiotics you have received."
d. "This is probably caused by the same bacteria you had in your lungs."
ANS: C
A black, hairy tongue is not really hair but the elongation of filiform papillae and painless overgrowth of mycelial threads of fungus infection on the tongue. It occurs after the use of antibiotics, which inhibit normal bacteria and allow a proliferation of fungus.
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