The nurse is caring for a patient who has acute pharyngitis caused by Candida albicans. Which action is appropriate for the nurse to include in the plan of care?
a. Avoid giving patient warm liquids to drink.
b. Assess patient for allergies to penicillin antibiotics.
c. Teach the patient about the need to sleep in a warm, dry environment.
d. Teach patient to "swish and swallow" prescribed oral nystatin (Mycostatin).
ANS: D
Oral or pharyngeal fungal infections are treated with nystatin solution. The goal of the "swish and swallow" technique is to expose all of the oral mucosa to the antifungal agent. Warm liquids may be soothing to a sore throat. The patient should be taught to use a cool mist humidifier. There is no need to assess for penicillin/cephalosporin allergies because Candida albicans infection is treated with antifungals.
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