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ANCC Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) Practice Tests & Test Prep by Exam Edge - Free Test


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ANCC Adult-Gerontology Primary Care Nurse Practitioner - Free Test Sample Questions

A 66-year-old female patient with an aphthous stomatitis comes into the office. Which of the following is not a treatment option for this patient?





Correct Answer:
accolate oral solution


aphthous stomatitis, commonly referred to as canker sores, is a condition characterized by the formation of painful ulcers in the mouth. treatment options are aimed at reducing pain, promoting healing, and decreasing the frequency of ulcer occurrence. various treatments are available, ranging from topical applications to systemic medications.

among the options listed, the use of a 3% hydrogen peroxide/water solution in a 1:1 ratio as a gargle is one treatment possibility. hydrogen peroxide acts as an antiseptic, which helps in cleaning the ulcers and preventing infection. patients are generally advised to gargle this solution to help reduce bacteria in the mouth and to aid in the healing process.

another option is diphenhydramine 5mg/ml (commonly known as benadryl) elixir mixed 1:1 with attapulgite (kaopectate). this mixture can be used as a soothing mouth rinse that numbs the painful areas and provides a protective coating to the ulcers. diphenhydramine is an antihistamine that helps in reducing inflammation and pain, while attapulgite is an adsorbent that helps to coat and soothe the mouth ulcers.

tetracycline syrup, an antibiotic, can be used as a mouthwash after being diluted with water. this method helps in reducing bacterial colonization of the ulcer surface and can promote faster healing. it is important, however, to use antibiotics judiciously and under the guidance of a healthcare provider to prevent antibiotic resistance.

among the treatments listed, "accolate oral solution" does not exist as a treatment option for aphthous stomatitis. accolate (zafirlukast) is indeed a leukotriene receptor antagonist, which is primarily used in the management of asthma. it works by blocking leukotrienes, substances in the body that cause asthma symptoms. this medication is not designed for or effective in the treatment of canker sores, as its mechanism does not address the typical causes or symptoms associated with this condition.

in summary, while hydrogen peroxide/water solution, diphenhydramine mixed with attapulgite, and tetracycline syrup are valid options for managing aphthous stomatitis, accolate oral solution is not appropriate for this use. when treating aphthous stomatitis, it is important to choose treatments that specifically target the symptoms and causes of mouth ulcers.