Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
A 76-year-old male visits his primary care physician with complaints of burning with urination and a frequent urge to void. As the RN, you aid the patient in collecting a urine specimen to be sent for analysis. While awaiting the final results of drug susceptibility testing in the lab, the patient is prescribed oral sulfasoxazole.
-The in vivo susceptibility of the pathogen is established,and the patient is maintained on sulfasoxazole.If no in vivo effect of the drug is observed by the patient following the first 7 days of antibiotics,what is the most appropriate action by the medical team?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
  A 76-year-old male visits his primary care physician with complaints of burning with urination and a frequent urge to void. As the RN, you aid the patient in collecting a urine specimen to be sent for analysis. While awaiting the final results of drug susceptibility testing in the lab, the patient is prescribed oral sulfasoxazole.
-The in vivo susceptibility of the pathogen is established,and the patient is maintained on sulfasoxazole.If no in vivo effect of the drug is observed by the patient following the first 7 days of antibiotics,what is the most appropriate action by the medical team?

Quizplus · Accepted Answer

If there is no in vivo effect of sulfasoxazole observed in the patient after 7 days of therapy, it is possible that the pathogen is resistant to the antibiotic. Therefore, sulfasoxazole should be discontinued and a new antibiotic should be initiated based on the results of drug susceptibility testing. Increasing the dose of sulfasoxazole or initiating antiviral therapy would not be appropriate in this scenario.

Please Read the Clinical Scenario, and Then Answer the Question