Author Question: A home care patient with chronic obstructive pulmonary disease (COPD) has oral candidiasis. What ... (Read 31 times)

altibaby · **on:** Jul 23, 2018

A home care patient with chronic obstructive pulmonary disease (COPD) has oral candidiasis. What additional information does the nurse obtain from this patient?

a. How often are you using your steroid inhaler?
b. Do you share a toothbrush with any members of your family?
c. When was the last time your inhaler drug prescriptions were filled?
d. Have you taken any over-the-counter drugs for a cold or flu lately?

Question 2

Why should tetracycline drugs be avoided during pregnancy and lactation?

a. Tetracycline crosses the placenta and causes brain hemorrhage in the fetus.
b. The fetal and newborn liver cannot metabolize the drug and anemia results.
c. The fetus and newborn are more likely to have allergic reactions to tetracycline.
d. The drug interferes with tooth enamel development causing permanently stained teeth.

zenzy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Excessive use of steroid inhalers reduces local immune function and increases the patient's risk for oral-pharyngeal infections, including candidiasis.

Answer to Question 2

D
Tetracyclines are pregnancy category D drugs. Their use during tooth development in the last half of pregnancy and in infancy can cause a permanent yellow-gray discoloration of the teeth and make the tooth enamel thinner. So, these drugs should not be used during pregnancy or when breastfeeding except for anthrax exposure or for another serious infection that is not likely to re-spond to other antibacterial drugs.