NUR 3420 Pharmacology PrepU Ch20
A nurse is teaching a client how to apply a topical sulfonamide to a burn. Which statement by the client would indicate that the teaching was effective?
"I will apply it in a very thin layer over the area."
The nurse is caring for a client with ulcerative colitis who is taking sulfasalazine. What instruction will the nurse give this client?
"Expect your urine to turn yellow-orange."
A client has been prescribed 4 gm of sulfamethoxazole-trimethoprim tablets per day. The available drug is in the form of 500 mg. To meet the recommended dose, the nurse will administer _______ tablets each day.
8
The nurse is caring for four clients on a medical floor. For which client would the nurse suspect the health care provider might order a sulfonamide?
A 35-year-old woman with a urinary tract infection and a history of ulcerative colitis
The pharmacology instructor is teaching about sulfonamides and informs the students that these drugs are used to control infections caused by which bacteria?
Both gram positive and gram negative
The nurse understands that some clients should not take sulfonamides. These include which clients? (Select all that apply.)
Clients with a hypersensitivity to sulfonamides Women who are lactating Children younger than 2 months
The nurse is aware that which hospitalized clients are most at risk for urinary tract infections?
Clients with indwelling urethral catheter.
The client admitted to the hospital is ordered sulfasalazine 500 mg QID. The drug comes from the pharmacy in 1000-mg capsules. What is the best action by the nurse?
Contact the pharmacist
A patient has been prescribed a tetracycline drug for Rocky Mountain spotted fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs?
Decreased absorption of tetracycline
A nurse is caring for a 6-year old child with a severe case of typhoid fever. The client was mistakenly administered tetracycline, which can cause adverse reactions. What could be a permanent effect in the child?
Discoloration of the teeth
A patient is being prescribed tetracycline for the treatment of rickettsiae. The nurse learns that the patient is also taking an anticoagulant for a circulatory disorder. What is the effect of oral anticoagulant drugs interacting with tetracycline?
Increased risk of bleeding
A nurse is caring for a client with crystalluria. When caring for the client, which intervention would the nurse include in the plan of care to prevent more stones from forming
Instruct the client to increase fluid intake to 2000 mL.
Your client is 32 weeks pregnant. She has just been diagnosed with a urinary tract infection. You know that tetracycline is contraindicated for her because:
It can cause a life-threatening toxicity for the fetus
Tetracyclines must be used cautiously in the presence of what condition?
Liver impairment Kidney impairment
A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?
Take the drug on an empty stomach
Which statement is true in regards to the oral administration of tetracyclines?
Tetracyclines should be administered with a full glass of water.
The nurse is admitting a client with a urinary tract infection who has been prescribed sulfadiazine. What information obtained in the admission process would cause the nurse to contact the health care provider immediately?
The client is currently taking warfarin (Coumadin).
The health care provider considers prescribing an oral tetracycline for a client suspected of having a urinary tract infection. What action needs to be completed before the medication can be prescribed?
The health care provider should order culture and susceptibility studies.
A nurse is providing discharge teaching to a client who is being sent home on tetracycline (Sumycin) PO. What should the instructions include?
The need to take the drug on an empty stomach
Urinary anti-infectives are used only in urinary tract infections. What causes urinary anti-infectives to be so effective in treating UTIs?
They act specifically within the urinary tract
The client who has been on long-term sulfonamide therapy begins begins to demonstrate symptoms associated with side affects of the therapy. The nurse knows that these symptoms are related to which complication associated with sulfonamide therapy?
Thrombocytopenia
A patient who is on sulfonamide therapy is about to be discharged. Which of the following precautions should the nurse instruct the patient to follow to reduce the effects of photosensitivity?
Wear protective clothing and sunscreen when outside
A client diagnosed with a urinary tract infection (UTI) asks the nurse about how to prevent another infection. Which statement by the client indicates effective teaching by the nurse?
Wipe from front to back after going to the bathroom
The action of sulfonamides is classified as which type of medication
bacteriostatic
The nurse instructs a client on sulfonamide therapy to drink a full glass of water when taking the medication and to also drink at least 8 large glasses of water each day until therapy is finished. The nurse is trying to prevent which complication associated with sulfonamide therapy?
crystalluria
The health care professional has recommended sulfonamide therapy for a patient. While obtaining the patient's medical history, the nurse discovers that the patient is taking oral anticoagulants. Which of the following are the possible effects of combining sulfonamide therapy with oral anticoagulants?
increased action of anticoagulant
When describing how tetracyclines treat infection, the nurse would incorporate which information into the description?
inhibiting bacterial protein synthesis
The nurse is caring for a pregnant client who has symptoms of a urinary tract infection. The nurse is aware that which urinary tract anti-infective is allowed to be used during pregnancy?
nitrofuranotoin
A 3-year-old has a history of recurrent urinary tract infections (UTI). Which practice implemented by the parents for the child indicates an understanding of preventive measures regarding these infections?
no use of bubble bath liquids or salts
A 32-year-old female client has a urinary tract infection. Her record reveals that she has recently been treated for anemia. The health care provider has indicated that drug therapy for the urinary tract infection will last more than 2 weeks. The most important nursing action will be to:
obtain a complete blood count to establish baseline values.
The pharmacology students are learning about medications used to treat urinary tract problems. What symptoms does phenazopyridine treat?
pain and urgency
Tetracycline is often a viable treatment option when a client has an allergy to what antibiotics?
penicillins
Robert Shue, age 62, is an athletic, tall man. He suffers from dysuria and frequency. He has been diagnosed with a urinary tract infection. He has been prescribed an antibiotic and urinary analgesic. Today he contacts the office reporting that his urine color has changed to orange. What drug was most likely prescribed to him?
phenazopyridine
The nurse is administering a urinary tract drug that exerts a topical analgesic effect on the lining of the urinary tract. Which drug would the nurse be most likely to administer?
phenazopyridine
Which drug would the nurse identify as turning a client's urine reddish brown?
phenazopyridine
A client cannot recall the name of the medication prescribed to help manage the pain associated with a urinary tract infection (UTI). What medication was likely prescribed?
phenazopyridine hydrochloride
A clinic client has been prescribed phenazopyridine (Pyridium) for aid in treating a UTI. This client should be informed that Pyridium will change the urine to what color?
reddish-orange
The nurse is aware that sulfonamide therapy is used cautiously in older adults because of decreased function of what organ system?
renal
A nurse is caring for a client with irritation of the lower genitourinary tract. The client is administered phenazopyridine. Which condition in clients contraindicates the use of the drug?
renal impairment
A nurse is speaking to a 62-year-old female client who has been started on sulfisoxazole, a sulfonamide antibiotic. The nurse should teach this client to contact the health care provider if the client experiences what adverse effect associated with the drug?
skin rash or itching
The drug's effect on what best reflects the major reason for avoiding the use of tetracyclines in children under 8 years of age?
teeth
Tetracyclines should not be used in children younger than 8 years of age because of their effects on:
teeth and bones
Urinary tract anti-infectives act directly to destroy the bacteria or through acidification of the urine.
true
