A patient complains of mouth sores. Upon assessment, the nurse notes white, patchy spots and redness of the tongue and throat. The nurse expects the prescriber to order
a. miconazole (Micatin).
b. itraconazole (Sporanox).
c. fluconazole (Diflucan).
d. nystatin (Mycostatin).
D
Nystatin is used to treat candidal infection of the skin, mouth, esophagus, and vagina.
Miconazole (indicated for cutaneous and vaginal candidiasis) and itraconazole are not indicated for the treatment of candidal infections. Oral candidiasis is treated with topical agents, such as nystatin, clotrimazole, and amphotericin B. In an immunocompromised host, oral therapy with fluconazole or ketoconazole usually is required.
Fluconazole is recommended for use in immunocompromised patients, and nothing indicates that the patient is immunocompromised.
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A patient with a diagnosis of colon cancer has undergone a bowel resection with the creation of an ileostomy
The patient's ileostomy output has been unexpectedly high in the 2 days since surgery, and the patient's most recent blood work indicates a K+ level of 2.7 mEq/L. This potassium level should prompt the nurse to assess for which of the following physical manifestations? A) Confusion and decreased level of consciousness B) Shortness of breath, rales, and peripheral edema C) Dysphagia, tetany, and emotional lability D) Fatigue, cramps, and weakness
The term process to describe nursing was first used in
a. 1955 by Lydia Hall c. 1961 by Ida Orlando b. 1855 by Florence Nightingale d. 1967 by Yra and Walsh
The nurse is assessing a new client in the clinic. The nurse knows that the subjective (presumptive) signs and symptoms of pregnancy include which of the following?
1. Positive urine pregnancy test, enlarged abdomen, and Braxton Hicks contractions 2. Positive urine pregnancy test, amenorrhea, changes in pigmentation of the skin, and softening of the cervix 3. Increase in urination, amenorrhea, fatigue, breast tenderness, and quickening 4. Enlarged abdomen and fetal heartbeat
An infant has had an omphalocele reduced. During the postoperative period, the infant is at risk for which of the following complications:
a. Infection b. Hypothermia c. Dehydration d. All of the above