A male client of African descent has been prescribed sulfamethoxazole with trimethoprim (Bactrim), a sulfonamide anti-infective, for a bacterial infection
When the client arrives in the emergency department, the nurse should place priority on which assessment?
1. Urinary output
2. Level of red blood cells (RBCs)
3. Liver function tests
4. Renal function tests
Correct Answer: 2
Rationale 1: Urinary output is not the priority assessment based on the information provided.
Rationale 2: Males of African descent are more likely to be deficient in the enzyme G6PD, an enzyme that is essential in carbohydrate metabolism. The use of sulfonamides in this group of clients can cause an acute hemolysis of red blood cells due to the breaking chemical bonds in the hemoglobin molecule.
Rationale 3: Liver function tests are not the priority assessment based on the information provided.
Rationale 4: Renal function tests are not the priority assessment based on the information provided.
Global Rationale: Males of African descent are more likely to be deficient in the enzyme G6PD, an enzyme that is essential in carbohydrate metabolism. The use of sulfonamides in this group of clients can cause an acute hemolysis of red blood cells due to the breaking chemical bonds in the hemoglobin molecule. Urinary output is not the priority assessment based on the information provided. Liver function tests are not the priority assessment based on the information provided. Renal function tests are not the priority assessment based on the information provided.
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