Author Question: What is the drug of choice in a patient with renal impairment who is being treated for a urinary ... (Read 54 times)

nautica902 · **on:** Jul 23, 2018

What is the drug of choice in a patient with renal impairment who is being treated for a urinary tract infection (UTI)?

A) Salazopyrin
B) Silver sulfadiazine
C) Declomycin
D) Fosfomycin

Question 2

The nurse is caring for a patient who has indirect-acting cholinergic agonists prescribed to treat myasthenia gravis. When administering this classification of drug, the nurse should assess the patient for toxic effects of the drugs including what?

A) Paralytic ileus
B) Abdominal distension
C) Hypertension
D) Muscle weakness

Viet Thy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
The dosage of fosfomycin, given orally, does not need to be changed in cases of renal impairment. It is the only medication listed here that is used in the treatment of urinary tract infections. Declomycin may be used to inhibit antidiuretic hormone in the treatment of chronic inappropriate antidiuretic hormone secretion. Salazopyrin is used in ulcerative colitis. Silver sulfadiazine is used topically to treat Pseudomonas infections.

Answer to Question 2

D
Feedback:
The patient with a cholinergic crisis presents with progressive muscle weakness and respiratory difficulty because the accumulation of acetylcholine at the cholinergic receptor site leads to reduced impulse transmission and muscle weakness. This is a crisis when the respiratory muscles are involved. Toxic effects of the drug would not include paralytic ileus, abdominal distention, or hypertension.