A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice daily. Before administering the third dose, the nurse observes the client has a widespread rash, a temperature of 103°F, and a heart rate of 100 beats/min. The client looks ill and reports not feeling well. What is the nurse's response?
Request an order for intravenous trimethoprim/sulfamethoxazole.
Administer the dose and request an order for an antipyretic medication.
Withhold the treatment and notify the provider of the symptoms.
Initiate probiotics and tell the client to taper off the medication.
The Correct Answer is C
a) Intravenous trimethoprim/sulfamethoxazole may still induce an adverse reaction, and withholding the oral medication is the more prudent initial action.
b) Administering the dose may worsen the client's condition, and addressing the symptoms requires notifying the provider first.
c) Withholding the treatment and promptly notifying the provider about the observed symptoms is the correct immediate response to potential adverse reactions.
d) Initiating probiotics and tapering off the medication may be considerations, but the urgent action is to withhold the medication and inform the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.
B) Expecting green urine is not associated with phenytoin. This statement is not accurate.
C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.
D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.
Correct Answer is C
Explanation
a) The need for a gastric acid suppressor is not a common consideration when taking steroids.
b) Prolonged steroid use does not typically lead to addiction.
c) Prolonged steroid use, particularly in children, may lead to enhanced growth and potentially premature tall stature.
d) Steroids may cause weight gain rather than weight loss, and they do not typically cause type 1 diabetes.
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