The ambulatory care nurse is providing instructions to a client ...

[OSWALD]

The ambulatory care nurse is providing instructions to a client with a urinary tract infection (UTI) being started on medication therapy with nitrofurantoin (Macrodantin), a urinary antiseptic agent. The nurse tells the client that:
 
  1. It can cause urinary retention.
  2. It will cause the urine to become clear.
  3. If taken with meals, it will help decrease the risk for gastrointestinal (GI) upset.
  4. The sun should be avoided because it is a sulfa-based medication.

Question 2

The nurse is preparing to assist in examining a Hispanic-American child who was brought to the clinic by the mother. During assessment of the child, the nurse would avoid which of the follow-ing?
 
  1. Admiring the child
  2. Taking the child's temperature
  3. Obtaining an interpreter if necessary
  4. Asking the mother questions about the child

[tennis14576]

Answer to Question 1

3

Rationale: Nitrofurantoin is a urinary antiseptic (not a sulfa-based medication) and should be taken with meals to decrease the incidence of GI side effects. Food or milk decreases the GI upset. The medication could cause the urine to turn rust yellow or brown. It does not cause urinary retention.

Answer to Question 2

1

Rationale: Hispanic-American clients may believe in mal ojo (evil eye). They believe that an individual becomes ill as a result of excessive admiration by another. Taking the child's tem-perature, obtaining an interpreter if necessary, and asking the mother questions about the child are appropriate interventions. It is appropriate for the nurse to obtain an interpreter if the child or mother does not speak the same language as the nurse.