Author Question: The health care provider has ordered trimethoprim-sulfamethoxazole (Septra) to be administered IV to ... (Read 103 times)

jenna1 · **on:** Jul 23, 2018

The health care provider has ordered trimethoprim-sulfamethoxazole (Septra) to be administered IV to several hospitalized clients who have developed urinary tract infections. For which client should the nurse question the order?

1. The client with glaucoma
2. The client who has an indwelling urinary catheter inserted
3. The client who has AIDS
4. The client who had surgery yesterday

Question 2

A client has been prescribed nitrofurantoin (Furadantin) for the treatment of a UTI. The nurse explains that this medication is effective against which causative organisms?

Standard Text: Select all that apply.
1. E. coli
2. S. saprophyticus
3. Pseudomonas
4. Proteus
5. Serratia

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Glaucoma is not a contraindication to receiving Septra IV.
Rationale 2: An indwelling urinary catheter is not a contraindication to receiving Septra IV.
Rationale 3: Caution must be used when treating clients with acquired immunodeficiency syndrome (AIDS) because they experience a higher incidence of serious adverse effects than others.
Rationale 4: It is not necessary to question the order for a postoperative client.
Global Rationale: Caution must be used when treating clients with acquired immunodeficiency syndrome (AIDS) because they experience a higher incidence of serious adverse effects than others. Glaucoma and presence of an indwelling urinary catheter are not contraindications for the use of Septra IV. It is not necessary to question the order solely due to the client's postoperative status.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Nitrofurantoin (Furadantin) is effective in the treatment of UTIs caused by E.coli.
Rationale 2: Nitrofurantoin (Furadantin) is effective in the treatment of UTIs caused by S. saphrophyticus.
Rationale 3: Nitrofurantoin (Furadantin) is not effective in the treatment of UTIs caused by Pseudomonas.
Rationale 4: Nitrofurantoin (Furadantin) is not effective in the treatment of UTIs caused by Proteus.
Rationale 5: Nitrofurantoin (Furadantin) is not effective in the treatment of UTIs caused by Serratia.
Global Rationale: Nitrofurantoin is active against the E. coli, S. saprophyticus, and many other strains of gram-positive and gram-negative aerobes. It is not effective against the Pseudomonas, Proteus, or Serratia species.