In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?
Explanation & Rationale
A. Irrigate the infected area with medicated solution after applying sterile gloves: Irrigation is not an appropriate method for administering nystatin in infants because it poses a risk of aspiration and does not ensure adequate contact of the medication with the mucosal surfaces. B. Measure the prescribed amount of solution into the infant's bottle: Mixing nystatin with formula or milk dilutes the medication and reduces its antifungal effectiveness. The drug must directly contact the affected mucosa to eliminate fungal organisms effectively. C. Draw up the medication in a needle-less syringe which the infant can suck: Allowing the infant to suck the medication does not ensure even distribution across the infected mucosal surfaces, which limits therapeutic effectiveness and may result in incomplete treatment. D. Use a gloved finger to rub the suspension over the infected area: Applying nystatin directly with a gloved finger ensures the medication coats all affected areas of the gums, tongue, and buccal mucosa. This method maximizes local antifungal action and minimizes systemic absorption risk in infants.