The client who is HIV positive has a bout of Pneumocystis pneumonia and is prescribed to take a combination of sulfamethoxazole and trimethoprim (Bactrim). Which precaution is most important for the nurse to stress to this client?

A. "If you miss one dose, take two tablets at the next scheduled dose."
B. "Drink at least 4 liters of fluid/day while taking this medication."
C. "Do not take this medication within 4 hours of taking any other medication."
D. "Avoid direct sunlight or use a sunscreen with a minimum SPF of 45 during and for 2 weeks following drug therapy."


B
Some of the ingredients of this drug (sulfamethoxazole) can crystallize and precipitate in the kidneys, increasing the risk for renal failure. Keeping well-hydrated prevents this complication.

Nursing

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A majority of pediatric health care occurs in community-based settings. Community-based health care settings include: Standard Text: Select all that apply

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A parent is concerned about her children's reaction should their grandmother die. What understanding will guide the nurse's response?

a. Children are unlikely to notice their grandmother's absence if no one reminds them. b. Young children often understand that other people die, but do not equate it with themselves. c. The children's response will depend entirely on whether they have been acquainted with death before this. d. Children can understand the concept of a higher being much like adults can.

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A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to:

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Which of the following organs is responsible for biotransformation of nonsteroidal antiinflam-matory drugs (NSAIDs)?

a. Liver and many other tissues b. Kidneys and bloodstream c. Bile and gastrointestinal (GI) tract d. Brain and GI tract

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