Author Question: Trimethoprim-sulfamethoxazole (Bactrim) has been prescribed for a client with a urinary tract ... (Read 238 times)

ishan · **on:** Jul 23, 2018

Trimethoprim-sulfamethoxazole (Bactrim) has been prescribed for a client with a urinary tract infection. The nurse can administer this medication by which routes?

Standard Text: Select all that apply.
1. By mouth
2. By intravenous injection
3. By intramuscular injection
4. By subcutaneous injection
5. By the topical route

Question 2

An infant has been diagnosed with a urinary tract infection. The nurse anticipates the health care provider may prescribe which medications as part of the treatment regimen?

Standard Text: Select all that apply.
1. Trimethoprim-sulfamethoxazole (TMP-SMZ)
2. Nitrofurantoin (Furadantin)
3. Fosfomycin (Monurol)
4. Norfloxacin (Noroxin)
5. Levofloxacin (Levaquin)

durant1234 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: This medication can be administered by mouth in the treatment of a UTI.
Rationale 2: This medication can be administered by the intravenous route in the treatment of a UTI.
Rationale 3: This medication cannot be administered by the intramuscular route in the treatment of a UTI.
Rationale 4: This medication cannot be administered by the subcutaneous route in the treatment of a UTI.
Rationale 5: This medication cannot be administered topically in the treatment of a UTI.
Global Rationale: This medication is administered only by the oral and intravenous routes.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Trimethoprim-sulfamethoxazole (TMP-SMZ) is a safe and effective treatment for infants with a urinary tract infection.
Rationale 2: Nitrofurantoin (Furadantin) is a safe and effective treatment for infants with a urinary tract infection.
Rationale 3: The safety and efficacy of fosfomycin (Monurol) have not been established in children younger than 12 years old.
Rationale 4: Norfloxacin (Noroxin) is a fluoroquinolone and as such is contraindicated for children under age 18 because these drugs have been found to affect cartilage development.
Rationale 5: Levofloxacin (Levaquin) is a fluoroquinolone and as such is contraindicated for children under age 18 because these drugs have been found to affect cartilage development.
Global Rationale: TMP-SMZ and nitrofurantoin are effective in children. However, fluoroquinolones are contraindicated in children under age 18 because these drugs have been found to affect cartilage development. The safety and efficacy of fosfomycin has not been established in children younger than 12 years old.