Author Question: The nurse is caring for a client who was recently admitted from a long-term care facility. The ... (Read 73 times)

oliviahorn72 · **on:** Jul 23, 2018

The nurse is caring for a client who was recently admitted from a long-term care facility. The client is prescribed trimethoprimsulfame thoxazole by IV. Which laboratory tests should the nurse assess prior to administration of the medication?

1. Serum creatinine
2. Electrolytes
3. Allergies
4. C-reactive protein

Question 2

The nurse is caring for a client who was recently admitted from a long-term care facility. The client is prescribed trimethoprimsulfame thoxazole by IV. The nurse understands that the client has which complication?

1. Nausea
2. Endocarditis
3. Urinary tract infection
4. Upper respiratory infection

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

Answer to Question 1

1

Rationale 1:Trimethoprimsulfame thoxazole should be used cautiously in patients with preexisting kidney disease. Serum creatinine and blood urea nitrogen should be assessed prior to medication administration.
Rationale 2:Electrolytes are not adversely affected by the medication.
Rationale 3: Allergies should be assessed prior to medication administration, but that is not a laboratory test.
Rationale 4: C-reactive protein is elevated in patients with inflammation. This client has an infection and not necessarily inflammation.

Global Rationale: The combination of sulfamethoxazole (SMZ), a sulfonamide, with the anti-infective trimethoprim (TMP) should be used cautiously in patients with preexisting kidney disease, because sulfonamides can adversely affect renal function. Serum creatinine and blood urea nitrogen are laboratory tests that assess renal function.

Answer to Question 2

3

Rationale 1:Trimethoprimsulfame thoxazole is not used for nausea.
Rationale 2: Endocarditis is not treated with trimethoprimsulfame thoxazole.
Rationale 3:Trimethoprimsulfame thoxazole is used for urinary tract infections (UTIs).
Rationale 4: Upper respiratory infections are treated with broad-spectrum antibiotics and not trimethoprimsulfame thoxazole.

Global Rationale: The combination of sulfamethoxazole (SMZ), a sulfonamide, with the anti-infective trimethoprim (TMP) is most often used in the pharmacology of UTIs.