Author Question: The health care professional has recommended sulfonamide therapy for a client. While obtaining the ... (Read 146 times)

Jramos095

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The health care professional has recommended sulfonamide therapy for a client. While obtaining the client's medical history, the nurse discovers that he is taking oral anticoagulants.
 
  Which of the following are the possible effects of combining sulfonamide therapy with oral anticoagulants?
 
  A) Increased action of the anticoagulant
  B) Increased risk of anaphylactic shock
  C) Rendering of sulfonamide therapy ineffective
  D) Development of leukopenia

Question 2

After administering sulfonamides to a client, the nurse observes that he has developed a fever, cough, and muscular aches. The nurse also observes that the client has developed lesions in the form of red wheals on the neck and the mouth.
 
  The nurse interprets these findings as indicating which of the following?
 
  A) Stevens-Johnson syndrome (SJS)
  B) Anaphylactic shock
  C) Thrombocytopenia
  D) Leukopenia



stanleka1

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Answer to Question 1

Ans: A
Feedback:
Taking sulfonamide drugs when the client is already taking oral anticoagulants may result in increased action of the anticoagulants. Anaphylactic shock and leukopenia are some of the adverse reactions of sulfonamides but are not associated with mixing sulfonamides and anticoagulants. Oral anticoagulants do not decrease the effectiveness of sulfonamides.

Answer to Question 2

Ans: A
Feedback:
Clients with Stevens-Johnson syndrome (SJS) may complain of fever, cough, muscular aches and pains, and headache. Additional signs include lesions on the neck and mouth. Lesions are not symptoms of leukopenia or anaphylactic shock. A client with thrombocytopenia develops bruises on the skin but not lesions in the form of red wheals.



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