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A patient with chronic obstructive pulmonary disease (COPD) uses a corticosteroid inhaler bid. Which
adverse effect is associated with this medication?
a. Mucositis
b. Plaque
c. Xerostomia
d. Candidiasis - Correct Answer: ANS: D
Medications that predispose a patient to candidiasis are those that suppress the immune system,
including immunosuppressants, corticosteroids, cytotoxics, and broad spectrum antibiotics.
2. The nurse is assessing a patient's mouth and notes white, milk curd-appearing plaques attached to the
oral mucosa. Which condition is present?
a. Thrush
b. Canker sores
c. Cold sores
d. Mucositis - Correct Answer: ANS: A
Thrush is characterized by white, milk curd-appearing plaques that are attached to the oral mucosa.
Canker sores can appear as ulcers 0.5 to 2 cm in diameter on surfaces that are not attached to bone,
such as the tongue, gums, or inner lining of the cheeks and lips.
What is the primary pharmacologic therapy for Candida albicans?
a.Steroids
b. Antifungal agents
c. Topical anesthetics
d. Topical anti-inflammatory agents - Correct Answer: ANS: B