Author Question: A nurse is caring for a client receiving fosfomycin for the treatment of an acute bacterial UTI. ... (Read 51 times)

Bernana · **on:** Jul 23, 2018

A nurse is caring for a client receiving fosfomycin for the treatment of an acute bacterial UTI. Which of the following interventions should the nurse include in the teaching plan for the client about this drug?

A) Ensure that the drug is administered every 3 hours.
B) Administer the drug after dissolving it in 90 to 120 mL of hot water.
C) Ensure that the drug is administered immediately after mixing with water.
D) Administer the drug on an empty stomach.

Question 2

A nurse is caring for a client receiving methenamine as outpatient treatment for chronic bacterial UTIs. Which instruction should the nurse include in the teaching plan for the client about the administration of the drug?

A) Avoid prolonged exposure to sunlight.
B) Increase the intake of milk products.
C) Avoid an excessive intake of citrus fruits.
D) Take the drug preferably with food.

ktidd · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
The nurse should instruct the client to take the drug immediately after mixing it with water. The nurse need not instruct the client to take the drug at an interval of 3 hours, to take the drug after dissolving it in 90 to 120 mL of hot water, or to take the drug on an empty stomach. Fosfomycin, which comes in dry form, should be dissolved in 90 to 120 mL water, but not hot water. The nurse should instruct the client to take the drug with food to prevent gastric upset, which occurs with the administration of fosfomycin.

Answer to Question 2

Ans: C
Feedback:
The nurse should instruct the client taking the anti-infective methenamine to avoid an excessive intake of citrus fruits. The nurse need not instruct the client taking methenamine to avoid prolonged exposure to sunlight, to increase the intake of milk products, or to take the drug preferably with food. Instead, the nurse should instruct the client to avoid milk and milk products when the client is taking methenamine.