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 A
Explanation
A. Document normal findings: Pink-tinged urine is expected after a cystoscopy due to minor trauma to the urethra or bladder during the procedure.
B. Contact the Rapid Response Team: Pink-tinged urine does not indicate a medical emergency requiring the Rapid Response Team.
C. Promptly notify the healthcare provider: This finding does not require immediate notification unless accompanied by significant bleeding, clots, or other abnormal symptoms.
D. Restrict fluids: Increasing fluid intake helps flush the urinary tract and reduce irritation after a cystoscopy.
Correct Answer is A
Explanation
A. Flat plate: A flat plate of the abdomen (plain X-ray) is safe and does not involve contrast dye.
B. Intravenous pyelogram: This procedure involves the use of contrast dye, which is nephrotoxic and contraindicated in patients with renal insufficiency or diabetes mellitus due to the risk of worsening kidney function.
C. Ultrasonography: Ultrasounds do not involve dye or radiation and are safe for patients with renal insufficiency or diabetes.
D. Renal scan: While renal scans can involve radioactive material, they are generally safer for assessing kidney function in these patients compared to an IV pyelogram.
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