ATI Pediatrics Exam 2 | Nurselytic

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ATI Pediatrics Exam 2 Questions

Extract:

A school-age child with a systemic disorder, receiving antibiotics, immunosuppressants, corticosteroids, parents with smoking history, soreness in mouth, white, milky plaque that does not come off.


Question 1 of 5

A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?

Correct Answer: D

Rationale: The correct answer is D: Candidiasis. The child's symptoms of soreness in the mouth and a white, milky plaque that does not come off with rubbing are characteristic of oral candidiasis, a fungal infection commonly seen in individuals with systemic disorders, on immunosuppressive medications, and with a smoking history. The use of antibiotics, immunosuppressants, and corticosteroids can disrupt the balance of normal flora in the mouth, leading to overgrowth of Candida fungus. Herpes simplex (choice
A) typically presents with painful vesicles that rupture and form ulcers. Dermatitis (choice
B) is a skin inflammation, not typically seen in the oral cavity. Squamous cell carcinoma (choice
C) presents as a persistent, non-healing ulcer or mass and is not associated with a white plaque.

Extract:


Question 2 of 5

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