A 2-month-old client has a candidal diaper rash. Which medication ...

[jace]

A 2-month-old client has a candidal diaper rash. Which medication does the nurse anticipate will be prescribed for this client?
 
  1. Bacitracin ointment
  2. Hydrocortisone ointment
  3. Desitin
  4. Nystatin given topically and orally

Question 2

The nurse is teaching a group of adolescents about care for acne vulgaris. Which interventions will the nurse include in the teaching session?
 
  1. Wash skin with mild soap and water twice a day.
  2. Use astringents and vigorous scrubbing.
  3. Avoid picking or squeezing the lesions.
  4. Apply tretinoin (Retin-A) liberally.
  5. Avoid sun exposure if on tetracycline.

[morrie123456]

Answer to Question 1

Correct Answer: 4
Rationale: Diaper candidiasis is treated with an antifungal cream (Nystatin). An oral antifungal agent may be given to clear the candidiasis from the intestines. Bacitracin is for an infection caused by staphylococcus. Mild diaper rash is treated with a barrier such as Desitin. Moderate diaper rash is treated with hydrocortisone ointment.

Answer to Question 2

Correct Answer: 1,3,5
Rationale: The adolescent should be taught to wash skin with mild soap and water twice a day, to avoid picking or squeezing acne lesions, and to avoid sun exposure if on tetracycline. Using astringents and scrubbing vigorously can exacerbate acne. Tretinoin (Retin-A) should be applied sparingly (pea-size doses).