The nurse is preparing to administer a topical application of 1 ml of nystatin (Mycostatin) to an infant with oral thrush. Which actions should the nurse plan to implement? (Select all that apply.)
a. Administer after a feeding.
b. Use a sponge applicator to swab the oral mucosa and tongue.
c. Administer after warming the medication under running warm water.
d. If white patches are no longer present, hold the medication.
e. Deposit the remainder of the dose in the mouth with a syringe so the infant swallows a small amount.
ANS: A, B, E
To administer a topical application of nystatin for oral thrush, the medication should be distributed over the surface of the oral mucosa and tongue with an applicator or syringe. The remainder of the dose is deposited in the mouth to be swallowed by the infant to treat any gastrointestinal lesions. The nystatin should be administered after feedings. The medication should not be warmed before administration, and the medication should continue to be administered until discontinued by the health care provider.
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