The nurse is taking a health history on a patient who has come to the clinic for a follow-up appointment
The patient states that the only medication she is taking is trimethoprim/sulfamethoxazole (Bactrim). Which statement made by the patient would most concern the nurse?
a. "I play softball on Thursdays."
b. "I sometimes feel tired."
c. "I am allergic to sulfa."
d. "I am taking this medication for my urinary tract infection."
ANS: C
The nurse should be most concerned that the patient is allergic to sulfa, because trimethoprim/sulfamethoxazole has a sulfa moiety and is contraindicated in patients allergic to sulfa.
Feeling tired is not a predominate concern.
The fact that the patient plays softball is not a concern, even though the potential exists for photosensitivity. The scenario does not specify whether she plays during the day or at night.
Taking trimethoprim/sulfamethoxazole for a UTI is appropriate for those who are not allergic to sulfa.
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