When describing the adverse reactions associated with ...

[Mimi]

When describing the adverse reactions associated with anti-infectives for UTIs, which of the following would the nurse explain as being most common?
 
  A) Gastrointestinal
  B) Dermatologic
  C) Neurologic
  D) Urologic

Question 2

After nitrofurantoin is administered to a client with an acute bacterial UTI, assessment reveals dyspnea, chest pain, cough, fever, and chills. Which of the following actions would be most appropriate?
 
  A) Monitor client for tightness of the chest.
  B) Offer fluids to the client at regular intervals.
  C) Provide oxygen support to the client.
  D) Withhold the drug and contact the primary health care provider.

[dreamfighter72]

Answer to Question 1

Ans: A
Feedback:
Although dermatologic reactions such as rash, pruritus, and photosensitivity reactions can occur and neurologic reactions such as dizziness, drowsiness, headache, blurred vision, and weakness can occur, adverse reactions associated with anti-infectives are primarily gastrointestinal in nature.

Answer to Question 2

Ans: D
Feedback:
The nurse should immediately notify the primary health care provider and withhold the next dose of the drug until the client is seen by the primary health care provider if acute pulmonary reactions are observed in the client. The nurse should monitor the client for signs of a nonproductive cough or malaise, which may indicate a chronic pulmonary reaction, which may occur during prolonged therapy. Tightness of the chest is not known to occur in the case of a chronic pulmonary reaction, so the nurse need not monitor the client for this. The nurse offers fluids at regular intervals to elderly clients who develop decreased thirst sensation as an adverse reaction to the urinary tract anti-infectives.

[Mimi]

TYSM

[komodo7]

Excellent