The nurse is caring for a patient who has been on multiple antibiotics for the treatment of pneumonia. The patient reports having a sore throat. The nurse notes a white coating on the patient's tongue as well as redness to the lips and gums. The nurse would most likely contact the physician to request which of the following?
A) Pamelor (nortriptyline) 25 mg capsules three times daily
B) Nimodipine 30 mg capsules every 4 hr
C) Zyprexa (olanzapine) 5 mg tablet daily
D) Nilstat (nystatin) 400,000 unit lozenge four times daily

Question

Quizplus · Accepted Answer

The white coating on the patient's tongue and redness to the lips and gums may indicate a fungal infection known as oral thrush, which can occur as a result of prolonged antibiotic use. Nilstat (nystatin) is an antifungal medication that can be used to treat oral thrush and is therefore the most appropriate choice. Pamelor (nortriptyline) is an antidepressant medication, Nimodipine is a calcium channel blocker used to prevent brain damage following a subarachnoid hemorrhage, and Zyprexa (olanzapine) is an antipsychotic medication. None of these medications are appropriate for the treatment of oral thrush.

The Nurse Is Caring for a Patient Who Has Been