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Exam (elaborations)

MGCCC Nursing Pharmacology Exam Study Guide

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  • MGCCC Nursing
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  • MGCCC Nursing

MGCCC Nursing Pharmacology Exam Study Guide ...

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  • August 22, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MGCCC Nursing
  • MGCCC Nursing
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MGCCC Nursing Pharmacology Exam
Study Guide
Sulfamethoxazole-Trimethoprim/TMP-SMZ (Actions) - Answer Inhibit bacterial synthesis
of folic acid

Bacteriostatic

Fights gram - bacteria

Proteus, Klebsiella, E. coli, Chlamydia

Sulfamethoxazole-Trimethoprim/TMP-SMZ (uses) - Answer Otitis media, respiratory
infections

UTIs, prostatitis, gonorrhea

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

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

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Side Effects) - Answer Mild to moderate
rash, photosensitivity

GI distress, stomatitis, crystalluria

Fatigue, depression, headache, dizziness

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Adverse Reactions) - Answer Blood
dyscrasias

Stevens-Johnson syndrome

Renal failure

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Nursing Interventions) - Answer 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)

Sulfamethoxazole-Trimethoprim/TMP-SMZ (Drug Interaction) - Answer Warfarin

Increases anticoagulation

Oral hypoglycemic

Increases hypoglycemia

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

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

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

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

Nitrofurantoin (Macrodantin) (side effects) - Answer 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

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

Nitrofurantoin (Macrodantin) (Nursing Implications) - Answer Report continued
symptoms

Take with food or milk, avoid ETOH

Protect from freezing, shake well

May cause drowsiness, seek aid with walking & other activities (driving or operating
machinery)

Monitor blood glucose in diabetes

Instruct urine may turn urine rust-yellow to brown

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