Question 1

The client has been ordered treatment with Gantanol. The highest priority instruction to provide this client is:&#10;A) to take on an empty stomach.&#10;B) to increase fluid intake to at least 2 L daily.&#10;C) to take with meals.&#10;D) it may produce bloody diarrhea.

Accepted Answer

The client who is being treated with Gantanol should increase his or her fluid intake to at least 2 L daily.

Question 2

A client is ordered to receive co-trimoxazole (Bactrim, Septra). The nurse assesses for side effects. What causes the nurse the greatest concern?&#10;A) Neutropenia and agranulocytosis&#10;B) Nausea and vomiting&#10;C) Headache and vertigo&#10;D) Fatigue and anorexia

Accepted Answer

Although all of these may be side effects of this medication, neutropenia and agranulocytosis causes most concern because of immunosuppression and the potential for infections.

Question 3

A nurse is aware that crystalluria is a common problem with sulfonamides. What is a nursing intervention to prevent this problem?&#10;A) Intravenous therapy&#10;B) Giving the medication in the morning&#10;C) Increasing intake of calcium&#10;D) Increasing fluid intake

Accepted Answer

Crystalluria and kidney stones may occur related to these medications. A brisk urine flow decreases sedimentation. There is no need for this medication to be IV.

Question 4

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?&#10;A) 9:00 AM&#10;B) 8:00 AM and 8:00 PM&#10;C) 8:00 AM, 12:00 PM, 4:00 PM, and 8:00 PM&#10;D) 8:00 AM, 12:00 PM, 4:00 PM, 8:00 PM, and 12:00 AM

Accepted Answer

Sulfonamides, like co-trimoxazole, are scheduled bid.

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):

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

Accepted Answer

Co-trimoxazole has hypoglycemic actions.

Question 6

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

The answer of A client is ordered to receive sulfisoxazole...

Question 7

Which nursing instruction related to photosensitivity is highest priority for the client receiving a sulfonamide?&#10;A) &#34;Use a high SPF sunblock when out in the sun.&#34;&#10;B) &#34;Avoid driving during daylight hours.&#34;&#10;C) &#34;Take vitamin D to prevent photosensitivity.&#34;&#10;D) &#34;Apply a moisturizer before going outside.&#34;

Accepted Answer

Using a high SPF sunblock decreases the risk of photosensitive reactions.

Question 8

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?

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

Accepted Answer

Sulfonamides can increase the anticoagulant effects of warfarin.

Question 9

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?&#10;A) Temperature within normal limits&#10;B) A decrease in urine output&#10;C) Increase in dysuria&#10;D) A rising white blood cell count

Accepted Answer

A body temperature within normal limits indicates that the medication is effective.

Question 10

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?&#10;A) Administer the medication; this is an expected side effect of the medication.&#10;B) Call the physician; this is symptomatic of development of a superinfection.&#10;C) Call the physician; this is symptomatic of a life-threatening anemia.&#10;D) Hold the medication and call the pharmacist for clarification.

Accepted Answer

Observe the client for hematologic reaction that may lead to life-threatening anemias. Early signs are sore throat, purpura, and decreasing white blood cell and platelet counts.

Question 11

The client is being treated with Bactrim. The nurse should anticipate seeing an increase in the client's serum:&#10;A) glucose.&#10;B) potassium.&#10;C) BUN and creatinine.&#10;D) calcium.

Accepted Answer

The answer of The client is being treated with Bactrim....

Question 12

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?

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.

Accepted Answer

The answer of A client with a UTI is ordered...

Question 13

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?

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.

Accepted Answer

The answer of A client is diagnosed with a urinary...

Deck 31: Sulfonamides