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MGCCC Nursing Pharmacology Questions and Answers 100% Verified

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Sulf Sulfamethoxazole-Trimethoprim/TMP-SMZ (Nursing Interventions) - ️️Administer with full glass of water 1 hour before meals or 2 hours after meals. Increase fluid intake. Monitor for sore throat, bruising, bleeding. Monitor CBC. Check for superinfection. Advise client not to take with antacids. Tell client to avoid direct sunlight. Use alternate forms of OCP Avoid OTC (asa, vit.C) Nitrofurantoin (Macrodantin) (side effects) - ️️Dizziness, h/a, drowsiness, peripheral neuropathy, chills, confusion, vertigo, CP, n/v/d, abd pain, loss of appetite, pruritus, rash, angioedema, alopecia, tooth staining, arthralgia, myalgia, numbness, cough, dyspnea, pneumonitis, pulmonary fibrosis or infiltrate, SLE-like syndrome amethoxazole-Trimethoprim/TMP-SMZ (Actions) - ️️Inhibit bacterial synthesis of folic acid Bacteriostatic Fights gram - bacteria Proteus, Klebsiella, E. coli, Chlamydia Sulfamethoxazole-Trimethoprim/TMP-SMZ (uses) - ️️Otitis media, respiratory infections UTIs, prostatitis, gonorrhea Sulfamethoxazole-Trimethoprim/TMP-SMZ (Routes) - ️️Oral, IV, topical, ophthalmic Sulfamethoxazole-Trimethoprim/TMP-SMZ (Contraindications) - ️️Br feeding infants <2mo. Hypersensitivity, term pregnancy, megaloblastic anemia, chancroid, traveler's diarrhea Sulfamethoxazole-Trimethoprim/TMP-SMZ (Side Effects) - ️️Mild to moderate rash, photosensitivity GI distress, stomatitis, crystalluria Fatigue, depression, headache, dizziness Sulfamethoxazole-Trimethoprim/TMP-SMZ (Adverse Reactions) - ️️Blood dyscrasias Stevens-Johnson syndromeRenal failure Sulfamethoxazole-Trimethoprim/TMP-SMZ (Drug Interaction) - ️️Warfarin Increases anticoagulation Oral hypoglycemic Increases hypoglycemia Sulfamethoxazole-Trimethoprim/TMP-SMZ (class) - ️️Sulfonamides Nitrofurantoin (Macrodantin) (class) - ️️Anti-infective Nitrofurantoin (Macrodantin) (Actions/uses) - ️️Inhibits bacterial UTIs caused by E coli, Klebsiella, Pseudomonas, Proteus vulgaris & morganii, Staph aureus, & epidermidis, enterococcus, salmonella, shigella

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MGCCC Nursing Pharmacology
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Institution
MGCCC Nursing Pharmacology
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MGCCC Nursing Pharmacology

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November 10, 2024
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MGCCC Nursing Pharmacology

Sulf Sulfamethoxazole-Trimethoprim/TMP-SMZ (Nursing Interventions) -
✔️✔️Administer with full glass of water 1 hour before meals or 2 hours after meals.
Increase fluid intake.
Monitor for sore throat, bruising, bleeding.
Monitor CBC.
Check for superinfection.
Advise client not to take with antacids.
Tell client to avoid direct sunlight.
Use alternate forms of OCP
Avoid OTC (asa, vit.C)

Nitrofurantoin (Macrodantin) (side effects) - ✔️✔️Dizziness, h/a, drowsiness, peripheral
neuropathy, chills, confusion, vertigo, CP, n/v/d, abd pain, loss of appetite, pruritus,
rash, angioedema, alopecia, tooth staining, arthralgia, myalgia, numbness, cough,
dyspnea, pneumonitis, pulmonary fibrosis or infiltrate, SLE-like syndrome

amethoxazole-Trimethoprim/TMP-SMZ (Actions) - ✔️✔️Inhibit bacterial synthesis of
folic acid
Bacteriostatic
Fights gram - bacteria
Proteus, Klebsiella, E. coli, Chlamydia

Sulfamethoxazole-Trimethoprim/TMP-SMZ (uses) - ✔️✔️Otitis media, respiratory
infections
UTIs, prostatitis, gonorrhea

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Routes) - ✔️✔️Oral, IV, topical, ophthalmic

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Contraindications) - ✔️✔️Br feeding
infants <2mo. Hypersensitivity, term pregnancy, megaloblastic anemia, chancroid,
traveler's diarrhea

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Side Effects) - ✔️✔️Mild to moderate rash,
photosensitivity
GI distress, stomatitis, crystalluria
Fatigue, depression, headache, dizziness

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Adverse Reactions) - ✔️✔️Blood
dyscrasias
Stevens-Johnson syndrome

, Renal failure


Sulfamethoxazole-Trimethoprim/TMP-SMZ (Drug Interaction) - ✔️✔️Warfarin
Increases anticoagulation
Oral hypoglycemic
Increases hypoglycemia

Sulfamethoxazole-Trimethoprim/TMP-SMZ (class) - ✔️✔️Sulfonamides

Nitrofurantoin (Macrodantin) (class) - ✔️✔️Anti-infective

Nitrofurantoin (Macrodantin) (Actions/uses) - ✔️✔️Inhibits bacterial UTIs caused by E
coli, Klebsiella, Pseudomonas, Proteus vulgaris & morganii, Staph aureus, &
epidermidis, enterococcus, salmonella, shigella

Nitrofurantoin (Macrodantin) (Contraindications) - ✔️✔️Infant <1 mo, hypersensitivity,
anuria, severe renal disease CCr <60 mL/min, term pregnancy, labor, delivery


Nitrofurantoin (Macrodantin) (Adverse reactions) - ✔️✔️Bundle-branch block,
cholestatic jaundice, pseudomembranous coilitis, hepatitis, pancreatitis, anemia,
agranulocytosis, hemolytic anemia, leukopenia, thrombocytopenia, exfoliative
dermatitis, Stevens-Johnson syndrome, superinfection


Phenazopyridine HCL (Pyridium) (Class) - ✔️✔️Urinary Analgesic

Phenazopyridine HCL (Pyridium) (Action) - ✔️✔️Exerts topical analgesic effect on
urinary tract mucosa

Phenazopyridine HCL (Pyridium) (Uses) - ✔️✔️Relief of pain, burning, urgency,
frequency resulting from urinary tract mucosa irritation

Phenazopyridine HCL (Pyridium) (Contraindications) - ✔️✔️Renal & liver insufficiency

Phenazopyridine HCL (Pyridium) (Side Effects) - ✔️✔️h/a, bright orange-colored urine
GI disturbance
Rash & pruritus

Phenazopyridine HCL (Pyridium) (Nursing Implications) - ✔️✔️Teach client how to
avoid UTIs
Take with meals
Explain discoloration of urine (red-orange)
The drug may discolor contact lenses & stain underwear

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