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 53 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
Excellent

LegendaryAnswers

  • Member
  • Posts: 341
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

A female mosquito Culiseta longiareolata A female mosquito Culiseta longiareolata
The nurse can make observations about the patient's general appearance while talking with the p The nurse can make observations about the patient's general appearance while talking with the p
Using adaptive equipment: (A) male putting on shoe; (B) female eating one handed. Using adaptive equipment: (A) male putting on shoe; (B) female eating one handed.
Sagittal section of the female pelvis, showing organs of the reproductive system. Sagittal section of the female pelvis, showing organs of the reproductive system.
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Video: Complement Proteins Animation

For a complete list of videos, visit our video library