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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 B

Explanation

A. Black-colored stools may indicate gastrointestinal bleeding, which is not a common side effect of rifampin.

B. Rifampin is known to cause orange-colored secretions, including urine, sweat, and tears, which is a normal and expected side effect.

C. Rifampin does not typically cause staining of teeth; this is more commonly associated with other medications like tetracyclines.

D. Constipation is not a recognized side effect of rifampin, and patients are not typically advised to expect this as a result of the medication.

Correct Answer is ["B","D","F"]

Explanation

A. Dry mouth is not a cholinergic side effect; cholinergic effects typically increase secretions.

B. Diarrhea is a common cholinergic side effect due to increased gastrointestinal motility.

C. Decreased urination is not expected; cholinergic agents may increase urination.

D. Excessive lacrimation (tearing) is a common cholinergic effect, as these agents stimulate glandular secretions.

E. Tachycardia is not a cholinergic side effect; bradycardia is more likely due to cholinergic effects.

F. Excessive sweating is a cholinergic effect due to increased glandular activity.

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