The nurse assessing a baby finds that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue. What method will the nurse normally use to see if this is thrush or residual milk curds?
a. Send a sample of the plaques to the lab for a thrush test.
b. Scrape a sample of the plaques, and look at it under the microscope.
c. Give the baby something acidic to drink such as sweetened lemonade.
d. Do a simple scraping; milk curds will scrape away and thrush will not.
D
Feedback
A Incorrect. Finding that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue, the nurse will not send a sample of the plaques to the lab for a thrush test.
B Incorrect. Finding that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue, the nurse will not scrape a sample of the plaques, and look at it under the microscope.
C Incorrect. Finding that the baby has creamy-white plaques on the buccal mucosa and lateral borders of the tongue, the nurse will not give the baby something acidic to drink such as sweetened lemonade.
D Correct. Thrush is characterized by the development of creamy-white plaques on the buccal mucosa and lateral borders of the tongue. Lesions gradually become confluent and may cover the entire oral cavity. The plaques associated with thrush can be distinguished from residual milk curds by their inability to be removed from the buccal mucosa. The nurse will do a simple scraping; milk curds will scrape away and thrush will not.
You might also like to view...
Which of the following nonsteroidal anti-inflammatory drugs (NSAIDs) has the side effect of renal failure, HTN, heart failure, and GI bleed in the elderly population?
a. Indomethacin c. Aspirin greater than 325 mg b. Ketorolac d. Naproxen
A client has experienced a transient ischemic attack (TIA) and presents with carotid bruits. Which is the priority action to be taken by the nurse, following a bilateral carotid endarterectomy?
A) Encourage deep breathing and coughing. B) Observe for facial swelling. C) Anticipate need for endotracheal intubation. D) Resume antilipemic drugs.
A nurse caring for a patient in the early stage of rheumatoid arthritis would expect which of the following medication classifications to be used in the treatment of this patient?
A) Antimalarial agents B) NSAIDs C) Xanthine oxidase inhibitors D) Uricosuric agents
The nurse would interpret which statement as accurately describing the relationship between the epigenetic state of a cell and its genome?
1. The genome's environment directly impacts the strength of the epigenetic state. 2. Environmental changes to the epigenome will influence genes. 3. The genome protects the epigenome from influences of such things as nutrition, drugs, and diseases. 4. Research has failed to distinguish a relationship between these two factors.