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| The sulfonamides are________ because they inhibit bacterial synthesis of folic acid, which is essential for bacterial growth. |
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| Sulfonamides may be used as an alternative drug for clients allergic to ________ |
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| Side effects of sulfonamides |
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| allergic response such as skin rash and itching.. GI disturbances (anorexia, nausea, vomiting) may also occur. |
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| adverse reactions of sulfonamides |
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| and crystalluria (crystals in urine) and hematuria , Photosensitivity , Cross-sensitivity (a sensitivity or allergy to one sulfonamide may lead to sensitivity to another sulfonamide) |
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| do not use sulfonamides if you are in which trimester of pregnancy? |
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| Sulfonamides should be avoided during the third trimester of pregnancy. |
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| most common side effect of sulfonamides? |
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| Instruct client to drink several quarts of fluid daily while taking sulfonamides to avoid the complication of |
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1. Sulfasalazine (Azulfidine) has been ordered for a client. The nurse knows that this drug is most effective against which organisms?
a. Escherichia coli and Clostridium
b. Neisseria gonorrhoeae and H. Influenzae
c. Pseudomonas aeruginosa and Helicobacter pylori
d. Enterococcus faecium and Staphylococcus aureus |
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2. A client is taking sulfasalazine (Azulfidine). What should the nurse teach the client to do?
a. Drink at least 10 glasses of fluid per day.
b. Monitor blood glucose carefully to avoid hyperglycemia.
c. Avoid operating a motor vehicle as this drug may cause drowsiness.
d. Take this drug with an antacid to decrease the risk of gastrointestinal distress. |
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3. The nurse is teaching a client about sulfadiazine (Microsulfon). Which directive should the nurse include in the teaching?
a. Avoid caffeine during sulfonamide treatment.
b. Administer in 50 mL of fluid over 30 minutes.
c. Avoid sulfonamides during the third trimester of pregnancy.
d. Use an ultraviolet light to enhance drug effectiveness. |
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4. A client is ordered to take trimethoprim-sulfamethoxazole (Bactrim). The nurse knows to expect which common adverse reaction?
a. Bronchospasm
b. Dysrhythmias
c. Pseudomembranous colitis
d. Stevens-Johnson syndrome |
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5. A client is taking a sulfonamide for an acute urinary tract infection. Which medication does the nurse realize is a short-acting sulfonamide?
a. sulfasalazine (Azulfidine)
b. sulfadiazine (Microsulfon)
c. sulfamethoxazole (Gantanol)
d. co-trimoxazole/TMP-SMZ (Bactrim) |
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6. The nurse is teaching the client about trimethoprim-sulfamethoxazole (Bactrim). Which directives should be included in the teaching? (Select all that apply.)
a. Report any bruising or bleeding immediately.
b. Report any diarrhea or bloody stools promptly.
c. Report any fever, rash, or sore throat promptly.
d. Avoid unprotected exposure to sunlight.
e. Report thirst and polyuria immediately. |
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