This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with bronchitis is taking TMP/SMZ, 106/80 mg orally, twice daily. Before administering ... (Read 91 times)

urbanoutfitters

  • Hero Member
  • *****
  • Posts: 530
on: Jul 23, 2018
A patient with bronchitis is taking TMP/SMZ, 106/80 mg orally, twice daily.
 
  Before administering the third dose, the nurse notes that the patient has a widespread rash, a temperature of 103 F, and a heart rate of 100 beats per minute. The patient looks ill and reports not feeling well. What will the nurse do?
  a. Administer the dose and request an order for an antipyretic medication.
  b. Withhold the dose and request an order for an antihistamine to treat the rash.
  c. Withhold the dose and notify the provider of the symptoms.
  d. Request an order for intravenous TMP/SMZ, because the patient is getting worse.

Question 2

A patient will be discharged from the hospital with a prescription for TMP/SMZ (Bactrim). When providing teaching for this patient, the nurse will tell the patient that it will be important to:
 
  a. drink 8 to 10 glasses of water each day.
  b. eat foods that are high in potassium.
  c. take the medication with food.
  d. take folic acid supplements.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ankilker

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
The most severe hypersensitivity reaction with TMP/SMZ is Stevens-Johnson syndrome, which manifests with fever, malaise, and rash. The drug should be discontinued immediately if a rash occurs. Requesting an antipyretic while giving the drug is incorrect. Giving antihistamines is not indicated. Giving TMP/SMZ intravenously would make the reaction worse.

Answer to Question 2

ANS: A
TMP/SMZ can injure the kidneys, because it causes deposition of sulfonamide crystals in the kidneys. Patients should be advised to drink 8 to 10 glasses of water a day to maintain a urine flow of 1200 mL in adults. Trimethoprim can cause hyperkalemia, so consuming extra potassium is unnecessary. The medication should be taken on an empty stomach. It is not necessary to consume extra folic acid, because mammalian cells use dietary folate and do not have to synthesize it; it is the process of folic acid synthesis that is altered by sulfonamides.


urbanoutfitters

  • Member
  • Posts: 530
Reply 2 on: Jul 23, 2018
Gracias!

laurnthompson

  • Member
  • Posts: 334
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

These young children are taking the initiative to explore their environment as they examine a snail These young children are taking the initiative to explore their environment as they examine a snail
Physical therapist assisting a patient to walk in the parallel bars. Physical therapist assisting a patient to walk in the parallel bars.
Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Oral pseudo membraneous candidiasis in a patient with AIDS. Oral pseudo membraneous candidiasis in a patient with AIDS.
Daily Alertness Activity (2 of 2) Daily Alertness Activity (2 of 2)
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)
Video: Passive Smoke Exposure

For a complete list of videos, visit our video library