A client has been prescribed trimethoprim-sulfamethoxazole ...

[geodog55]

A client has been prescribed trimethoprim-sulfamethoxazole (Septra) for treatment of a urinary tract infection. Which comments, made by the client, would the nurse discuss with the prescriber before allowing the client to leave the clinic?
 
  1. My husband and I plan to start a family as soon as possible.
  2. I forgot to take my potassium supplement today.
  3. Is it okay to take this with my warfarin?
  4. It is so cloudy today.
  5. My 80-year-old mother is coming to visit today.

Question 2

Following surgery, a client is placed on cefotaxine (Claforan). The assessment for possible adverse effects should include observing for
 
  1. diarrhea.
  2. headache.
  3. constipation.
  4. tachycardia.

[manuelcastillo]

Answer to Question 1

Correct Answer: 2,3
Rationale 1: Sulfa drugs are contraindicated for use by women at term.
Rationale 2: Potassium supplements should not be taken during therapy unless directed by the health care provider.
Rationale 3: Sulfa drugs may enhance the effects of oral anticoagulants.
Rationale 4: Sulfa drugs can result in photosensitivity.
Rationale 5: There is no reason this visit should be of concern regarding the medication prescribed.

Answer to Question 2

Correct Answer: 1
Rationale 1: Diarrhea is a frequent adverse effect of cephalosporins.
Rationale 2: Headache is not an adverse effect.
Rationale 3: Diarrhea, not constipation, is a common problem.
Rationale 4: Tachycardia is not an adverse effect.

[geodog55]

Both answers were spot on, thank you once again

[manuelcastillo]

Great! Please up vote