A 64-year-old female patient sought care for the treatment of a ...

[robinn137]

A 64-year-old female patient sought care for the treatment of a urinary tract infection, and her primary care provider prescribed nitrofurantoin. What change in the patient's health status would prompt the use of an alternative medication?
 
  A) The patient develops a fluid volume deficit.
  B) Urinalysis reveals the presence of ketones.
  C) The patient develops leukocytosis.
  D) The patient's UTI progresses to urosepsis.

Question 2

An oncology nurse is preparing to administer cytotoxic chemotherapy medications. Which of the following measures best protects the nurse from harm related to the chemotherapy?
 
  A) Wearing protective equipment
  B) Performing thorough hand hygiene
  C) Mixing medication in a 1000-mL bag
  D) Administering medication intramuscularly whenever possible

[poopface]

Answer to Question 1

D
Feedback:
Urinary antiseptics may be bactericidal for sensitive organisms in the urinary tract because these drugs are concentrated in renal tubules and reach high levels in urine. They are not used in systemic infections because they do not attain therapeutic plasma levels. Consequently, the development of urosepsis would necessitate a systemic antibiotic. Fluid deficit, ketones in the urine, and elevated white cells would not necessarily contraindicate the use of nitrofurantoin.

Answer to Question 2

A
Feedback:
Because of the drugs' toxicity, nurses who administer IV cytotoxic chemotherapy should be specially trained to administer the medications safely and use protective equipment when handling the medication. Hand hygiene is important during care but will only minimally protect from harm. The medication is mixed in a variety of solutions and amounts. The medication is not normally administered intramuscularly.

[robinn137]

Thank you!

[poopface]

Always glad to help...