A client has been prescribed trimethoprim-sulfamethoxazole (Septra) for treatment of a urinary tract infection. Which comments, made by the client, would the nurse discuss with the prescriber before allowing the client to leave the clinic?
1. "My husband and I plan to start a family as soon as possible."
2. "I forgot to take my potassium supplement today."
3. "Is it okay to take this with my warfarin?"
4. "It is so cloudy today."
5. "My 80-year-old mother is coming to visit today."
2,3
Rationale 1: Sulfa drugs are contraindicated for use by women at term.
Rationale 2: Potassium supplements should not be taken during therapy unless directed by the health care provider.
Rationale 3: Sulfa drugs may enhance the effects of oral anticoagulants.
Rationale 4: Sulfa drugs can result in photosensitivity.
Rationale 5: There is no reason this visit should be of concern regarding the medication prescribed.
Global Rationale: Potassium supplements should not be taken during therapy unless directed by the health care provider. Sulfa drugs may enhance the effects of oral anticoagulants. Sulfa drugs are contraindicated for use by women at term. Sulfa drugs can result in photosensitivity. There is no reason this visit should be of concern regarding the medication prescribed.
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