Final answer:
For an infant with candidal diaper rash, the nurse would administer a topical antifungal medication as it is effective against the cause of the infection. Corticosteroids, antibiotics, and retinoids are not suitable for treating fungal infections like candidal diaper rash. Topical antifungal medications like clotrimazole, miconazole, and nystatin are typical treatments for this condition.
Step-by-step explanation:
The nurse caring for an infant with candidal diaper rash would expect to administer a topical antifungal medication as ordered. Candidal diaper rash, also known as yeast diaper rash, is caused by the fungus Candida albicans. Topical antifungal creams or ointments are the treatment of choice for this condition. These medications include but are not limited to clotrimazole, miconazole, nystatin, and butoconazole which are specifically designed to eliminate the fungal cells. While other medications like corticosteroids may help reduce inflammation and antibiotics could treat bacterial infections, these are not appropriate for treating fungal infections like candidal diaper rash.
As observed in similar cases, clotrimazole is commonly prescribed to treat fungal infections and has been deemed safe for use during pregnancy, which also suggests it would be safe for infants. Only topical antifungals are both effective against the cause of candidiasis and also acceptable for use in such sensitive patients. It is important to follow the treatment recommendations closely for resolution of the infection. Excessive moisture and poor hygiene practices can contribute to the recurrence of candidal infections, thus they should be managed appropriately as well.