The nurse is assessing a child with white patches on his tongue that may be candidiasis (thrush). This suspicion is confirmed with the following observation: 

The white patches adhere to the tissue when scraped

Explanation

•Candidiasis adheres to the surface of the mucosa and tongue and is difficult to scrape off.

•Incorrect: Candidiasis does not appear on the face. It can occur on the tongue and oral mucosa, genitalia, or anus. It may also cause systemic infections.

•Incorrect: Candidiasis can cause bleeding when the patches are removed, but this will not happen when scraped with a tongue blade.

•Incorrect: Candidiasis does not produce a fruity smell.

Visit our website for other NCLEX topics now!