An older client with oral candidiasis is prescribed Nystatin. Which actions will the nurse take when using this preparation with the client? Select all that apply.

Question

1. Plan to use the medication four times a day for 2 weeks.
2. Soak dentures in 1 mL of the medication and water for at least 6 hours.
3. Teach to hold the solution in the mouth and swish for 2 minutes before swallowing.
4. Coat the gums and tongue with the medication and rinse with water after 5 minutes.
5. Provide the medication as a troche to be used twice a day if the client has diabetes.

Answer 1

1. Plan to use the medication four times a day for 2 weeks.
2. Soak dentures in 1 mL of the medication and water for at least 6 hours.
3. Teach to hold the solution in the mouth and swish for 2 minutes before swallowing.

Explanation: 1. The usual treatment with Nystatin in four times a day for 2 weeks.
2. clients with dentures should remove their dentures before rinsing to ensure that the medication reaches all areas of the oral mucosa. One milliliter of nystatin oral suspension should be added to the water used to soak dentures at nighttime, and dentures should soak for at least 6 hours.
3. The nurse should carefully observe older clients to make sure they adequately "swish" for about 2 minutes and then swallow the solution.
4. Coating the gums and tongue with the medication and rinsing with water after 5 minutes is not the correct way to use Nystatin.
5. If an oral troche used, it must be held in the mouth and allowed to slowly dissolve. The troche contains sugar and should not be used with clients who have diabetes.