The nurse is preparing to administer a single-dose packet of fosfomycin to a patient diagnosed with a UTI. When preparing this medication, the nurse will:
mix with 3 mL of normal saline and inject subcutaneously.
mix contents with 90-120 mL of water and administer by mouth.
pour contents into a soufflé cup and administer by mouth.
pour contents into 60 mL of juice, stir, and administer by mouth.
Decreasing glomerular filtrations
The Correct Answer is B
A. Mix with 3 mL of normal saline and inject subcutaneously: Fosfomycin is not administered subcutaneously; it is an oral medication.
B. Mix contents with 90-120 mL of water and administer by mouth: Fosfomycin is supplied as a powder that must be mixed with water before oral administration.
C. Pour contents into a soufflé cup and administer by mouth: The medication must be dissolved in water to ensure proper absorption.
D. Pour contents into 60 mL of juice, stir, and administer by mouth: Mixing with juice is not recommended as it may alter the medication's effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Proteus mirabilis: While Proteus species can cause UTIs, they are less common than E. coli and are often associated with catheter-related infections.
B. Pseudomonas aeruginosa: Pseudomonas causes UTIs primarily in hospitalized patients or those with indwelling catheters.
C. Klebsiella pneumoniae: Klebsiella species are less common than E. coli as causes of community-acquired UTIs.
D. E. coli: E. coli is the most common cause of community-acquired UTIs, accounting for approximately 80–90% of cases, due to its presence in the gastrointestinal tract and close proximity to the urethra.
Correct Answer is B
Explanation
A. Check for edema of the legs and ankles: Edema is not a common complication of lithotripsy. Monitoring for stone fragments and urinary symptoms is more relevant.
B. Watch for stone debris in the urine in 1 to 4 weeks: Lithotripsy fragments stones, and the patient is expected to pass debris in the urine for several weeks post-procedure.
C. Remain on restricted activity for a week: Patients can usually resume normal activity shortly after lithotripsy unless otherwise instructed.
D. Decrease fluid intake to 1000 mL/day: Increased fluid intake is encouraged to help flush out stone fragments and reduce the risk of recurrence.
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