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

Author Question: A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim, Septra) to treat a ... (Read 45 times)

Cooldude101

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim, Septra) to treat a urinary tract infection reports vaginal itching and discharge. The nurse will perform which action?
 
  a. Ask the patient if she might be pregnant.
  b. Reassure the patient that this is a normal side effect.
  c. Report a possible superinfection to the provider.
  d. Suspect that the patient is having a hematologic reaction.

Question 2

The nurse is preparing to give a dose of trimethoprim-sulfamethoxazole (TMP-SMX) and learns that the patient takes warfarin (Coumadin). The nurse will request an order for
 
  a. a decreased dose of TMP-SMX.
  b. a different antibiotic.
  c. an increased dose of warfarin.
  d. coagulation studies.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dawsa925

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Superinfection can occur with a secondary infection. Vaginal itching and discharge is a sign of superinfection. This is not symptomatic of pregnancy. These are not common side effects and do not indicate a hematologic reaction.

Answer to Question 2

ANS: D
Sulfonamides can increase the anticoagulant effects of warfarin. The nurse should request INR levels. An increased dose of warfarin would likely lead to toxicity and to undesirable anticoagulation.


Cooldude101

  • Member
  • Posts: 557
Reply 2 on: Jul 23, 2018
Wow, this really help

laurnthompson

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

A large female tiger shark (Galeocerdo cuvier) A large female tiger shark (Galeocerdo cuvier)
Orthetrum coerulescens, female Orthetrum coerulescens, female
The patient interview often requires note taking. The patient interview often requires note taking.
Female Reproductive System Issues Female Reproductive System Issues
A medical assistant helps the physician with a patient. A medical assistant helps the physician with a patient.
Instructing a Patient to Use Crutches Correctly Instructing a Patient to Use Crutches Correctly
Video: Introduction to Genetics

For a complete list of videos, visit our video library