Exam 88: Sulfonamides and Trimethoprim

A patient who is taking immunosuppressant medications develops a urinary tract infection. The causative organism is sensitive to sulfonamides and to another,more expensive antibiotic. The prescriber orders the more expensive antibiotic. The nursing student assigned to this patient asks the nurse why the more expensive antibiotic is being used. Which response by the nurse is correct?

A pregnant patient is treated with trimethoprim/sulfamethoxazole (TMP/SMZ)[Bactrim] for a urinary tract infection at 32 weeks' gestation. A week later,the woman delivers her infant prematurely. The nurse will expect to monitor the infant for:

A patient with second-degree burns is treated with silver sulfadiazine [Silvadene]. A nursing student asks the nurse about the differences between silver sulfadiazine and mafenide [Sulfamylon],because the two are similar products,and both contain sulfonamides. What does the nurse tell the student about silver sulfadiazine?

A patient will be discharged from the hospital with a prescription for TMP/SMZ [Bactrim]. When providing teaching for this patient,the nurse will tell the patient that it will be important to:

A nurse is discussing microbial resistance among sulfonamides and trimethoprim with a nursing student. Which statement by the student indicates a need for further teaching?

A patient with bronchitis is taking TMP/SMZ,160/800 mg orally,twice daily. Before administering the third dose,the nurse notes that the patient has a widespread rash,a temperature of 103°F,and a heart rate of 100 beats per minute. The patient looks ill and reports not feeling well. What will the nurse do?

A patient with type 2 diabetes mellitus takes glipizide. The patient develops a urinary tract infection,and the prescriber orders TMP/SMZ. What will the nurse tell the patient?

A nurse teaches a patient about sulfonamides. Which statement by the patient indicates a need for further teaching?

A nurse is obtaining a drug history from a patient about to receive sulfadiazine. The nurse learns that the patient takes warfarin,glipizide,and a thiazide diuretic. Based on this assessment,the nurse will expect the provider to:

A nurse is caring for a patient who takes an ACE inhibitor and an ARB medication who will begin taking TMP/SMZ to treat a urinary tract infection. Which serum electrolyte will the nurse expect to monitor closely?

A patient with a urinary tract infection is given a prescription for TMP/SMZ. When reviewing the drug with the patient,the nurse learns that the patient has type 1 diabetes mellitus and consumes alcohol heavily. What will the nurse do?

A nurse is caring for an African American patient who has been admitted to the unit for long-term antibiotic therapy with sulfonamides. The patient develops fever,pallor,and jaundice. The nurse would be correct to suspect that the patient has developed: