Question 1

A client is diagnosed with an infection and is ordered to receive a sulfonamide. What would the nurse evaluate as a positive response to the treatment?

Accepted Answer

A)   Temperature within normal limits
B)   A decrease in urine output
C)   Increase in dysuria
D)   A rising white blood cell count

Question 2

A client is ordered to take the anticoagulant warfarin (Coumadin)  with co-trimoxazole (Bactrim, Septra) . Based on the interaction of the drugs, the client's warfarin level should be monitored and the dose may need to be adjusted in which way?

Accepted Answer

A)   Increased
B)   Decreased
C)   Taken every other day
D)   Discontinued

Question 3

A client is diagnosed with a urinary tract infection and is ordered to receive 160 mg trimethoprim/200 mg sulfamethoxazole. Based on the physician's order, what is the highest priority nursing intervention?

Accepted Answer

A)   Call the pharmacist to clarify the order.
B)   Call the physician to clarify the order.
C)   Give the medication as ordered.
D)   Hold the dosage to prevent anaphylaxis.

Question 4

The client is being treated with Bactrim. The nurse should anticipate seeing an increase in the client's serum:

Accepted Answer

A)   glucose.
B)   potassium.
C)   BUN and creatinine.
D)   calcium.

Question 5

A client with type 2 diabetes is treated with a sulfonylurea agent. The client is diagnosed with a urinary tract infection and is ordered to receive co-trimoxazole (Bactrim, Septra) . The nurse should evaluate for a(n) :

Accepted Answer

A)   increased hyperglycemic response.
B)   increased hypoglycemic response.
C)   decreased action of the sulfonamide drug.
D)   prolonged action of the sulfonamide drug.

Question 6

A client with a UTI is ordered to receive trimethoprim-sulfamethoxazole, also known as co-trimoxazole (Bactrim, Septra) . The nurse is aware that Bactrim is a combination of two drugs. What is the purpose of this combination?

Accepted Answer

A)   It decreases the response against disease-producing organisms.
B)   The two drugs have an antagonistic drug effect.
C)   Trimethoprim prevents bacterial resistance to sulfamethoxazole.
D)   It prevents toxic drug effects.

Question 7

Co-trimoxazole (Bactrim, Septra)  has a half-life of 8 to 12 hours. Based on this information, the nurse decides to administer the drug at which time(s)  each day?

Accepted Answer

A)   9:00 AM
B)   8:00 AM and 8:00 PM
C)   8:00 AM, 12:00 PM, 4:00 PM, and 8:00 PM
D)   8:00 AM, 12:00 PM, 4:00 PM, 8:00 PM, and 12:00 AM B

Question 8

The client is being treated with one of the sulfonamides. She complains to the nurse of experiencing a sore throat. What is the highest priority action on the part of the nurse?

Accepted Answer

A)   Administer the medication; this is an expected side effect of the medication.
B)   Call the physician; this is symptomatic of development of a superinfection.
C)   Call the physician; this is symptomatic of a life-threatening anemia.
D)   Hold the medication and call the pharmacist for clarification.

Question 9

The client has been ordered treatment with Gantanol. The highest priority instruction to provide this client is:

Accepted Answer

A)   to take on an empty stomach.
B)   to increase fluid intake to at least 2 L daily.
C)   to take with meals.
D)   it may produce bloody diarrhea.

Question 10

A client is ordered to receive sulfisoxazole (Gantrisin) for chronic otitis media. The medication is ordered 5 mg/kg/dose. The client weighs 132 pounds. The medication is available as 125 mg/5 mL. The nurse should administer how many milliliters for each dose?

Accepted Answer

12 mL
Explanation: The client ...

Question 11

A client is ordered to receive co-trimoxazole (Bactrim, Septra) . The nurse assesses for side effects. What causes the nurse the greatest concern?

Accepted Answer

A)   Neutropenia and agranulocytosis
B)   Nausea and vomiting
C)   Headache and vertigo
D)   Fatigue and anorexia A

Question 12

Which nursing instruction related to photosensitivity is highest priority for the client receiving a sulfonamide?

Accepted Answer

A)   "Use a high SPF sunblock when out in the sun."
B)   "Avoid driving during daylight hours."
C)   "Take vitamin D to prevent photosensitivity."
D)   "Apply a moisturizer before going outside." A

Question 13

A nurse is aware that crystalluria is a common problem with sulfonamides. What is a nursing intervention to prevent this problem?

Accepted Answer

A)   Intravenous therapy
B)   Giving the medication in the morning
C)   Increasing intake of calcium
D)   Increasing fluid intake

Exam 31: Sulfonamides

A client is diagnosed with an infection and is ordered to receive a sulfonamide. What would the nurse evaluate as a positive response to the treatment?

Correct Answer
verified

A client is ordered to take the anticoagulant warfarin (Coumadin) with co-trimoxazole (Bactrim, Septra) . Based on the interaction of the drugs, the client's warfarin level should be monitored and the dose may need to be adjusted in which way?

Correct Answer
verified

A client is diagnosed with a urinary tract infection and is ordered to receive 160 mg trimethoprim/200 mg sulfamethoxazole. Based on the physician's order, what is the highest priority nursing intervention?

Correct Answer
verified

The client is being treated with Bactrim. The nurse should anticipate seeing an increase in the client's serum:

Correct Answer
verified

A client with type 2 diabetes is treated with a sulfonylurea agent. The client is diagnosed with a urinary tract infection and is ordered to receive co-trimoxazole (Bactrim, Septra) . The nurse should evaluate for a(n) :

Correct Answer
verified

A client with a UTI is ordered to receive trimethoprim-sulfamethoxazole, also known as co-trimoxazole (Bactrim, Septra) . The nurse is aware that Bactrim is a combination of two drugs. What is the purpose of this combination?

Correct Answer
verified

Co-trimoxazole (Bactrim, Septra) has a half-life of 8 to 12 hours. Based on this information, the nurse decides to administer the drug at which time(s) each day?

Correct Answer
verified
B

The client is being treated with one of the sulfonamides. She complains to the nurse of experiencing a sore throat. What is the highest priority action on the part of the nurse?

Correct Answer
verified

The client has been ordered treatment with Gantanol. The highest priority instruction to provide this client is:

Correct Answer
verified

A client is ordered to receive sulfisoxazole (Gantrisin) for chronic otitis media. The medication is ordered 5 mg/kg/dose. The client weighs 132 pounds. The medication is available as 125 mg/5 mL. The nurse should administer how many milliliters for each dose?

Correct Answer
verified
12 mL
Explanation: The client ...
View Answer

A client is ordered to receive co-trimoxazole (Bactrim, Septra) . The nurse assesses for side effects. What causes the nurse the greatest concern?

Correct Answer
verified
A

Which nursing instruction related to photosensitivity is highest priority for the client receiving a sulfonamide?

Correct Answer
verified
A

A nurse is aware that crystalluria is a common problem with sulfonamides. What is a nursing intervention to prevent this problem?

Correct Answer
verified

Exam 31: Sulfonamides

A client is diagnosed with an infection and is ordered to receive a sulfonamide. What would the nurse evaluate as a positive response to the treatment?

Correct AnswerverifiedShow Answer

A client is ordered to take the anticoagulant warfarin (Coumadin) with co-trimoxazole (Bactrim, Septra) . Based on the interaction of the drugs, the client's warfarin level should be monitored and the dose may need to be adjusted in which way?

Correct AnswerverifiedShow Answer

A client is diagnosed with a urinary tract infection and is ordered to receive 160 mg trimethoprim/200 mg sulfamethoxazole. Based on the physician's order, what is the highest priority nursing intervention?

Correct AnswerverifiedShow Answer

The client is being treated with Bactrim. The nurse should anticipate seeing an increase in the client's serum:

Correct AnswerverifiedShow Answer

A client with type 2 diabetes is treated with a sulfonylurea agent. The client is diagnosed with a urinary tract infection and is ordered to receive co-trimoxazole (Bactrim, Septra) . The nurse should evaluate for a(n) :

Correct AnswerverifiedShow Answer

A client with a UTI is ordered to receive trimethoprim-sulfamethoxazole, also known as co-trimoxazole (Bactrim, Septra) . The nurse is aware that Bactrim is a combination of two drugs. What is the purpose of this combination?

Correct AnswerverifiedShow Answer

Co-trimoxazole (Bactrim, Septra) has a half-life of 8 to 12 hours. Based on this information, the nurse decides to administer the drug at which time(s) each day?

Correct AnswerverifiedB

The client is being treated with one of the sulfonamides. She complains to the nurse of experiencing a sore throat. What is the highest priority action on the part of the nurse?

Correct AnswerverifiedShow Answer

The client has been ordered treatment with Gantanol. The highest priority instruction to provide this client is:

Correct AnswerverifiedShow Answer

A client is ordered to receive sulfisoxazole (Gantrisin) for chronic otitis media. The medication is ordered 5 mg/kg/dose. The client weighs 132 pounds. The medication is available as 125 mg/5 mL. The nurse should administer how many milliliters for each dose?

Correct Answerverified12 mLExplanation: The client ...View AnswerShow Answer

A client is ordered to receive co-trimoxazole (Bactrim, Septra) . The nurse assesses for side effects. What causes the nurse the greatest concern?

Correct AnswerverifiedA

Which nursing instruction related to photosensitivity is highest priority for the client receiving a sulfonamide?

Correct AnswerverifiedA

A nurse is aware that crystalluria is a common problem with sulfonamides. What is a nursing intervention to prevent this problem?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
verified
12 mL
Explanation: The client ...
View Answer

Correct Answer
verified
A

Correct Answer
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A

Correct Answer
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