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."
Correct Answer: 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.
You might also like to view...
A patient has a severe reaction to poison ivy. Which of the following medications will be most effective?
A) Topical antihistamines B) Corticosteroids C) Emollients D) Analgesics
A nurse is reading a journal article about propranolol. Which of the following would the nurse expect to find discussed? Select all that apply
A) Is a class III antiarrhythmic B) Acts by blocking beta-adrenergic receptors of the heart and kidney C) Reduces the release of renin D) Increases excitability of the heart E) Has membrane-stabilizing effects
Graduates of baccalaureate degree or associate's degree nursing programs are eligible to take which of the following to become registered nurses in the state in which they will practice?
a. Continuing education credits b. In-service education programs c. National Council Licensure Examination d. Graduate education
A patient is prescribed IV fluid to replace electrolytes and expand plasma volume. Which type of fluid will the nurse provide to the patient?
a. Isotonic solution b. Dextrose solution c. Hypotonic solution d. Hypertonic solution