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 88 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
:D TYSM

bdobbins

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
A hearing-impaired patient using an interpreter. A hearing-impaired patient using an interpreter.
Bilateral psoriasis on a patient’s knees. Bilateral psoriasis on a patient’s knees.
Instructing a Patient to Use Crutches Correctly Instructing a Patient to Use Crutches Correctly
Negative feedback control of the female reproductive hormones. Negative feedback control of the female reproductive hormones.
National Patient Safety Goals for Acute-Care Hospitals National Patient Safety Goals for Acute-Care Hospitals
Video: Stress and Immune System Animation

For a complete list of videos, visit our video library