A nurse is planning discharge teaching for a female client who has a prescription for trimethoprim-sulfamethoxazole (Bactrim). Which of the following information should the nurse include?
Take the medication even if pregnant
Stop taking this medication when manifestations resolve.
Complete the full course of therapy, even if manifestations resolve sooner.
Take this medication with an angiotensin converting enzyme (ACE) inhibitor for a synergistic effect.
The Correct Answer is C
A. Incorrect: Trimethoprim-sulfamethoxazole is contraindicated in pregnancy due to the risk of congenital defects.
B. Incorrect: Stopping the medication early can lead to antibiotic resistance and incomplete treatment.
C. Correct: It is essential to complete the entire course of antibiotics to ensure full eradication of the infection.
D. Incorrect: There is no indication to take this medication with an ACE inhibitor, and doing so may increase the risk of hyperkalemia.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect: Achilles tendon rupture is not a complication of trimethoprim-sulfamethoxazole.
B. Incorrect: Abstinence syndrome (withdrawal symptoms) occurs with opioid dependence, not antibiotics.
C. Incorrect: Hypokalemia is not associated with this medication.
D. Correct: Trimethoprim can cause hyperkalemia by decreasing potassium excretion, especially in older adults or those with kidney disease.
Correct Answer is ["C","D"]
Explanation
A. Incorrect – Blood creatinine: Measures kidney function but does not diagnose UTIs or identify the causative organism.
B. Incorrect – Blood culture: Used to detect bacteria in the bloodstream (e.g., sepsis) but does not identify a UTI-causing pathogen.
C. Correct – Urine culture and sensitivity: This test identifies the specific bacteria causing the UTI and determines which antibiotics will be most effective for treatment.
D. Incorrect – Complete Blood Count (CBC): Can show elevated WBCs, indicating infection, but does not determine the pathogen.
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