Author Question: A client who is being discharged has been instructed to continue with sulfonamide therapy for a ... (Read 138 times)

Garrulous · **on:** Jul 23, 2018

A client who is being discharged has been instructed to continue with sulfonamide therapy for a week. Which of the following points should the nurse include in the teaching plan to educate the client about the therapy?

A) Discontinue dosage if symptoms of infection disappear.
B) Take the drug a few minutes before a meal.
C) Take any off-the-shelf medication if fever occurs.
D) Ensure that all follow-up appointments are met.

Question 2

A nurse is caring for a client with burns. The client is prescribed topical silver sulfadiazine. The nurse would be alert for which of the following?

A) Facial edema
B) Skin necrosis
C) Headache
D) Rash

ndhahbi · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
The nurse's plan should include educating the client about the importance of keeping the follow-up appointments. The nurse should instruct the client to adhere to the dosage schedule and not discontinue it even if the symptoms of the infection have gone. The client should inform the primary health care provider if fever, skin rash, or nausea occurs during the therapy. The client should be instructed to take the drug on an empty stomach (at least 2 hours before or after a meal) and not just before a meal.

Answer to Question 2

Ans: B
Feedback:
Skin necrosis is an adverse effect of silver sulfadiazine that the nurse should be alert for. Facial edema and rash are adverse effects of mafenide, used for second- and third-degree burns. Headache is an adverse effect of sulfadiazine, used for urinary tract infection.