A client has been prescribed nitrofurantoin (Furadantin) for the treatment of a UTI. The nurse explains that this medication is effective against which causative organisms?
Standard Text: Select all that apply.
1. E. coli
2. S. saprophyticus
3. Pseudomonas
4. Proteus
5. Serratia
Correct Answer: 1,2
Rationale 1: Nitrofurantoin (Furadantin) is effective in the treatment of UTIs caused by E.coli.
Rationale 2: Nitrofurantoin (Furadantin) is effective in the treatment of UTIs caused by S. saphrophyticus.
Rationale 3: Nitrofurantoin (Furadantin) is not effective in the treatment of UTIs caused by Pseudomonas.
Rationale 4: Nitrofurantoin (Furadantin) is not effective in the treatment of UTIs caused by Proteus.
Rationale 5: Nitrofurantoin (Furadantin) is not effective in the treatment of UTIs caused by Serratia.
Global Rationale: Nitrofurantoin is active against the E. coli, S. saprophyticus, and many other strains of gram-positive and gram-negative aerobes. It is not effective against the Pseudomonas, Proteus, or Serratia species.
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A) "Yes, I can braid it for you if you want me to." B) "Well I guess I could just cut it all off." C) "You will have to ask your family to do that." D) "No, that is not a part of my job as a nurse."