The nurse is administering sulfamethoxazole-trimethoprim ...

[tingc95]

The nurse is administering sulfamethoxazole-trimethoprim (Bactrim) to a client diagnosed with bacterial prostatitis. Which finding causes the nurse to question this medication for this client?
 
  a. Urinary tract infection
  b. Allergy to sulfa medications
  c. Hematuria
  d. Elevated serum white blood cells

Question 2

A 55-year-old male client is admitted to the emergency department with symptoms of a myocardial infarction. Which question by the nurse is the most appropriate before administering nitroglycerin?
 
  a. On a scale from 0 to 10, what is the rating of your chest pain?
  b. Are you allergic to any food or medications?
  c. Have you taken any drugs like Viagra recently?
  d. Are you light-headed or dizzy right now?

[Swizqar]

Answer to Question 1

ANS: B
Before administering sulfamethoxazole-trimethoprim, the nurse must assess if the client is allergic to sulfa drugs. Urinary tract infection, hematuria, and elevated serum white blood cells are common problems associated with bacterial prostatitis that require long-term antibiotic therapy.

Answer to Question 2

ANS: C
Phosphodiesterase-5 inhibitors such as sildenafil (Viagra) relax smooth muscles to increase blood flow to the penis for treatment of erectile dysfunction. In combination with nitroglycerin, there can be extreme hypotension with reduction of blood flow to vital organs. The other questions are appropriate but not the highest priority before administering nitroglycerin.

[tingc95]

Excellent

[mochi09]

Gracias!