Author Question: The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices ... (Read 37 times)

chads108 · **on:** Jun 25, 2018

The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what would the nurse say?

a. We will need to get a biopsy to determine the cause.
b. This is an overgrowth of hair and will go away in a few days.
c. Black, hairy tongue is a fungal infection caused by all the antibiotics you have received.
d. This is probably caused by the same bacteria you had in your lungs.

Question 2

A mother is concerned because her 18-month-old toddler has 12 teeth. She is wondering if this is normal for a child of this age. The nurse's best response would be:

a. How many teeth did you have at this age?
b. All 20 deciduous teeth are expected to erupt by age 4 years.
c. This is a normal number of teeth for an 18 month old.
d. Normally, by age 2 years, 16 deciduous teeth are expected.

TheNamesImani · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
A black, hairy tongue is not really hair but the elongation of filiform papillae and painless overgrowth of mycelial threads of fungus infection on the tongue. It occurs after the use of antibiotics, which inhibit normal bacteria and allow a proliferation of fungus.

Answer to Question 2

ANS: C
The guidelines for the number of teeth for children younger than 2 years old are as follows: the child's age in months minus the number 6 should be equal to the expected number of deciduous teeth. Normally, all 20 teeth are in by 2 years old. In this instance, the child is 18 months old, minus 6, equals 12 deciduous teeth expected.