A 62-year-old client presents with a complaint of fever, pain, and burning on urination. Difficulty urinating with dribbling has been increasing in the past few days. He has a feeling of pressure in his groin.
On examination, his prostate is tender, boggy, and warm. A stat urinalysis reveals the presence of leukocytes and bacteria. He is allergic to sulfa drugs. His weight is 70 kg and his last serum creatinine was 1.0. While awaiting the culture and sensitivity, the nurse practitioner begins empiric treatment with which of the following?
A. Trimethoprim/sulfamethroxazole DS bid x 2 weeks
B. Ampicillin 250 mg PO q day for 10 days
C. Nitrofurantoin 100 mg Q 12 hours for 7 days
D. Ciprofloxacin 500 mg Q 12 hours for 14 days
Question 2
Known risk factors for lymphedema include all of the following except
A. Osteoarthritis
B. Rheumatoid arthritis
C. Obesity
D. Venous ulcer disease
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