Author Question: A patient treated with trimethoprim-sulfamethoxazole telephones with complaints of itching and ... (Read 14 times)

@Brianna17 · **on:** Jul 23, 2018

A patient treated with trimethoprim-sulfamethoxazole telephones with complaints of itching and hives. What instructions should the nurse give?

a. Stop the medication and come in for an evaluation.
b. Apply over-the-counter glucocorticoid cream.
c. Take oatmeal baths and continue the medication.
d. Stop the medication for 2 days and then restart and see if the reaction recurs.

Question 2

A patient admitted with an infected right stump secondary to a below-the-knee amputation (BKA) also has heart failure. The patient is taking gentamicin (Garamycin) and furosemide (La-six). What patient education should the nurse include?

a. Report any ringing in the ears or dizziness.
b. Report frequent nocturia.
c. Elevate the affected extremity.
d. Immediately report any tendon tenderness.

Bison · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

a

Answer to Question 2

A
The risk of furosemide-induced hearing loss is increased by concurrent use of other ototoxic drugs, especially aminoglycoside antibiotics, such as gentamicin. Ringing in the ears or dizziness may indicate impending or actual cochlear damage.
Some nocturia may be expected, especially if furosemide is given late in the evening.
Elevating the extremity helps alleviate swelling but does not address the intent of the question.
Tendonitis is not associated with aminoglycoside or diuretic therapy.