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    Ati physical assessment proctored exam

    A nurse is assessing the mouth f a patient and during the inspection notes a black and hairy tongue. What type of infection does the patient have?

    Explanation & Rationale

    A) Bacterial: Bacterial infections in the mouth typically result in symptoms like foul odor, swelling, or pus, but they do not generally cause a black, hairy appearance on the tongue. A black, hairy tongue is more commonly associated with fungal overgrowth or other non-bacterial factors. B) Fungal: A black, hairy tongue is often caused by an overgrowth of yeast or fungi, particularly Candida. This condition occurs when the normal balance of microorganisms in the mouth is disrupted, leading to the growth of fungi on the tongue’s papillae. These elongated, discolored papillae can trap food, bacteria, and dead cells, leading to a dark, furry appearance. C) Parasite: Parasitic infections in the mouth are rare and usually cause symptoms such as sores, swelling, or difficulty swallowing, but they do not typically result in a black, hairy tongue. A parasitic infection would have a different set of symptoms and appearance. D) Viral: Viral infections, such as those caused by the herpes simplex virus, can cause sores or ulcers in the mouth but do not typically cause a black, hairy appearance of the tongue. Viral infections might also cause symptoms like fever, pain, or swelling, but not this specific characteristic.

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