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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct: Acyclovir is an antiviral medication used to treat herpes zoster (shingles) by reducing the severity and duration of symptoms.
B. Incorrect: Metronidazole is an antibacterial and antiprotozoal drug, not used for viral infections.
C. Incorrect: Isoniazid is used for tuberculosis, not herpes zoster.
D. Incorrect: Cefepime is a cephalosporin antibiotic used for bacterial infections, not viral infections.
Correct Answer is B
Explanation
A. Incorrect: Second-generation cephalosporins (e.g., cefuroxime) have moderate gram-negative coverage but do not penetrate the cerebrospinal fluid (CSF) as effectively.
B. Correct: Cefepime is a fourth-generation cephalosporin with broad-spectrum activity, better gram-negative coverage, and improved CSF penetration.
C. Incorrect: First-generation cephalosporins (e.g., cephalexin) mainly target gram-positive bacteria.
D. Incorrect: Third-generation cephalosporins (e.g., ceftriaxone) have better gram-negative coverage but less resistance to β-lactamases compared to fourth-generation cephalosporins.
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