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The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should anticipate which drug to be administered to this client?

A.

nystatin (Mycostatin)

B.

amoxicillin (Amoxil)

C.

metronidazole (Flagyl)

D.

acyclovir (Zovirax)

Answer and Explanation

The Correct Answer is A

A. Nystatin is an antifungal medication used to treat oral candidiasis (thrush), which is consistent with the client's symptoms of soreness in the mouth and the presence of a white, milky plaque that does not rub off.  

 

B. Amoxicillin is an antibiotic that treats bacterial infections but would not be effective against fungal infections like oral thrush.  

 

C. Metronidazole is an antibiotic and antiprotozoal medication, which is not appropriate for treating oral candidiasis.  

 

D. Acyclovir is an antiviral medication used to treat infections caused by certain viruses, such as herpes, and is not effective for fungal infections like thrush.


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View Related questions

Correct Answer is A

Explanation

A. Oxymetazoline should not be used for more than 3 days because prolonged use can lead to rebound congestion.

B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.

C. Oxymetazoline has a rapid onset and should not take a week to show effects.

D. Oxymetazoline is a nasal decongestant and is not used for asthma management.

Correct Answer is C

Explanation

A. While maintaining blood pressure within the expected range is important, it does not specifically indicate the effectiveness of sertraline, which is an antidepressant.

B. Weight gain can occur with some antidepressants, but it is not a direct indicator of their effectiveness.

C. An increase in mood is a primary goal of treatment with sertraline, and reporting this improvement suggests that the medication is having a positive effect.

D. The absence of swollen legs is not a relevant indicator for assessing the effectiveness of sertraline, as it does not relate to mood or depression symptoms.

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