A client on budesonide turbuhaler reports white patches on the tongue and inner cheeks that scrape off easily.…

Question

A client on budesonide turbuhaler reports white patches on the tongue and inner cheeks that scrape off easily. Which is the nurse's most appropriate action?

Accepted Answer

Option 2: Notify the provider — likely oral candidiasis from ICS deposition; topical nystatin treatment may be prescribed and reinforce rinse-and-spit technique

Correct (2): White scrapeable plaques on tongue/buccal mucosa in an ICS user = oropharyngeal candidiasis. Topical antifungal (nystatin oral suspension swish-and-swallow QID × 7-14 days) typically treats it. Reinforce rinse-and-spit after each ICS use and use a spacer for MDI. (1) Not normal. (3) Stopping ICS risks asthma loss of control. (4) Topical steroids worsen candidiasis.

Answer

Option 1: Apply hydrocortisone cream to the mouth

Answer

Option 3: Reassure the client that this is normal

Answer

Option 4: Discontinue all medications until plaques resolve

A client on budesonide turbuhaler reports white patches on the tongue and inner cheeks that scrape off easily. Which is the nurse's most appropriate action?

In-depth explanation

Clinical scenario

Key concepts

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A client on budesonide turbuhaler reports white patches on the tongue and inner cheeks that scrape off easily. Which is the nurse's most appropriate action?

In-depth explanation

Clinical scenario

Key concepts

Master the NCLEX-RN with MyMerci