A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim, Septra) to treat a urinary tract infection reports vaginal itching and discharge. The nurse will perform which action?
a. Ask the patient if she might be pregnant.
b. Reassure the patient that this is a normal side effect.
c. Report a possible superinfection to the provider.
d. Suspect that the patient is having a hematologic reaction.
ANS: C
Superinfection can occur with a secondary infection. Vaginal itching and discharge is a sign of superinfection. This is not symptomatic of pregnancy. These are not common side effects and do not indicate a hematologic reaction.
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