Before giving methenamine (Hiprex) to a patient, it is important ...

[xroflmao]

Before giving methenamine (Hiprex) to a patient, it is important for the nurse to review the patient's history for evidence of which problem?
 
  a. Elevated blood urea nitrogen and creatinine
  b. History of reactions to antibiotic agents
  c. Possibility of pregnancy
  d. Previous resistance to antiseptic agents

Question 2

A patient who is taking nitrofurantoin calls the nurse to report several side effects. Which side effect of this drug causes the most concern and would require discontinuation of the medication?
 
  a. Anorexia, nausea, and vomiting
  b. Brown-colored urine
  c. Drowsiness
  d. Tingling of the fingers

[amandanbreshears]

Answer to Question 1

ANS: A
Methenamine should not be given to patients with renal impairment, because crystalluria can occur. There is no cross-reactivity between methenamine and antibiotic agents. Methenamine is safe for use during pregnancy. There is no organism drug resistance to methenamine.

Answer to Question 2

ANS: D
Tingling of the fingers can indicate peripheral neuropathy, which can be an irreversible side effect of nitrofurantoin. The other side effects are not serious and can be reversed.

[xroflmao]

YES! Correct, THANKS for helping me on my review

[ryhom]

Excellent