A 62-year-old client presents with a complaint of fever,pain,and burning on urination.Difficulty urinating with dribbling has been increasing in the past few days.He has a feeling of pressure in his groin.On examination,his prostate is tender,boggy,and warm.A stat urinalysis reveals the presence of leukocytes and bacteria.He is allergic to sulfa drugs.His weight is 70 kg and his last serum creatinine was 1.0.While awaiting the culture and sensitivity,the nurse practitioner begins empiric treatment with which of the following?

Question

Quizplus · Accepted Answer

Given the patient's allergy to sulfa drugs, options A and C (trimethoprim/sulfamethroxazole and nitrofurantoin) are not appropriate choices. Option B (ampicillin) is not effective against the most common causative agent of urinary tract infections, Escherichia coli. Option D (ciprofloxacin) is a broad-spectrum antibiotic that covers the most common pathogens causing urinary tract infections, including E. coli, and is not contraindicated in the patient. Therefore, empiric treatment with ciprofloxacin is the best choice in this case.

A 62-Year-Old Client Presents with a Complaint of Fever,pain,and Burning