A nurse is caring for an HIV-positive child diagnosed with Pneumocystis jiroveci pneumonia who is receiving trimethoprim-sulfamethoxazole. Which finding indicates a possible complication of using this drug?
A. Hemorrhagic blisters
B. Polyuria
C. Severe headache
D. Seizures
ANS: A
P. jiroveci is usually treated with trimethoprim-sulfamethoxazole (TMP-SMZ), a sulfa drug. A potential complication of this drug is Stevens-Johnson syndrome, characterized by a rash that turns into hemorrhagic blistering, fever, cough, sore throat, nausea, and vomiting. Polyuria, headache, and seizures are not typical findings in this condition.
You might also like to view...
The nurse reviews the medications of a patient taking folic acid. The nurse notes that the patient is concurrently taking vitamin B12 . This concerns the nurse because of the fact that folic acid may
a. cause fetal malformation. b. worsen megaloblastic anemia. c. mask the signs of vitamin B12 deficiency. d. negatively affect potassium levels.
What form of trauma is the leading cause of fetal and maternal death?
1. Falls 2. Domestic violence 3. Gun accidents 4. Motor vehicle accidents
The AAP's recommendations for length of breastfeeding is
1. 6 months 2. 6 months with the first child 3. 1 year 4. 9 month
Which of the following roles represents a shift in health care delivery from institutions to the community level?
a. Primary care provider b. Administrator c. Visiting nurse d. Case manager