A patient receiving penicillin therapy tells the nurse that she feels like her mouth is irritated and that she has a sore throat. Inspection reveals a red, swollen tongue with ulcerations
The nurse suspects a fungal superinfection and identifies which nursing diagnosis as most appropriate for this patient?
A) Impaired Comfort
B) Impaired Oral Mucous Membranes
C) Deficient Knowledge
D) Inadequate Nutrition: Less Than Body Requirements
Ans: B
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The assessment suggests a fungal superinfection, which would lead to the nursing diagnosis of Impaired Oral Mucous Membranes. Although Impaired Comfort may be appropriate, Impaired Oral Mucous Membranes is more specific. There is no evidence of lack of knowledge or problems with nutrition. However, if the superinfection is not addressed, the patient may experience difficulty eating due to the irritation and discomfort.
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