NCLEX-RN

Category - Pharmacological

A 23-year-old administrative officer came in to the clinic presenting with suprapubic pain, dysuria, and urinary urgency. Urinalysis results indicated a case of urinary tract infection. The physician ordered one gram Bactrim, an antibiotic effective against acute UTI. As the nurse gathered information from this patient, which finding is considered significant?
  1. Allergy to eggs and dairy products
  2. Temperature: 38.7°C
  3. Allergy to sulfa and morphine
  4. Patient is taking antacids for hyperacidity
Explanation
Answer: C - Bactrim is a combination of trimethoprim and sulfamethoxazole. This drug should not be administered to a patient who has an allergy to sulfa. On the other hand, this drug can be safely given to patients with allergy to eggs, dairy products, and morphine. However, the nurse should be extra wary for signs of allergic reactions. Option B is expected with this patient; increased temperature is caused by the infection. With oral preparations of Bactrim, ensure that the patient takes the medication on an empty stomach to guarantee maximum absorption of the drug.
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