Pharmacology Antibiotics #3

Question

The client is prescribed sulfamethoxazole-trimethoprim for a urinary tract infection (UTI). Which statement by the client is most concerning to the nurse?

Answers

  1. "It is hard, but I have been sober for 3 years now and feel so much better."
    • Rationale:

      This answer is not correct because the client does not drink alcohol. This is confirmed by them stating they have been “sober” for 3 years. Alcohol ingestion is not recommended when taking antibiotics because both can be hard on the liver function.

  2. "I usually have to eat something when I take antibiotics since I have so much diarrhea."
    • Rationale:

      This answer is not correct because it is permissible to take this medication with food. This will decrease gastrointestinal symptoms while taking antibiotics.

  3. "My IUD makes me bloat so much, so I may have gained some water weight today."
    • Rationale:

      This answer is not correct because the client is not taking birth control pills. Many antibiotics deem birth control pills ineffective so other forms of birth control should be used when on antibiotics (such as condoms and IUDs).

  4. "I came in because I wanted to get started on antibiotics before I left to go to the beach."
    • Rationale:

      This answer is correct because photosensitivity is a side effect of sulfa antibiotics, such as sulfamethoxazole-trimethoprim. Photosensitivity symptoms are the same as for sunburn but the client is more quickly affected by the sun exposures. Symptoms include redness, stinging, burning, rash, itching, blisters, and pain. Clients should be informed of the importance of avoiding exposure to sunlight. If sun exposure is unavoidable, use of wide brim hats, long sleeves, and gloves are recommended.

Overview

Sulfa antibiotics, such as sulfamethoxazole-trimethoprim, have the side effect of photosensitivity. Clients should be taught to avoid the sun when taking sulfa antibiotics.

Explanation

Learning Outcomes

Photosensitivity is a side effect of sulfa antibiotics, such as sulfamethoxazole-trimethoprim. This medication is often prescribed for urinary tract infections, ear infections, and bronchitis. Photosensitivity symptoms are the same as for sunburn but the client is more quickly affected by the sun exposures. Symptoms include redness, stinging, burning, rash, itching, blisters, and pain. Clients should be informed of the importance of avoiding exposure to sunlight. If sun exposure is unavoidable, use of sunblock, wide brim hats, long sleeves, and gloves are recommended.

Test Taking Tip

It is helpful to think of “SUlfa” drugs as SUn sensitive medications.

Video Rationale