Pharmacology Antibiotics #15

Question

The nurse is teaching a patient with a urinary tract infection about use of nitrofurantoin. The nurse will include which instructions on this medication?

Answers

  1. The medication may cause rusty-brownish color to the urine.
    • Rationale:

      This answer is correct because patient education regarding nitrofurantoin includes that nitrofurantoin may cause a rusty-brownish color to urine. The patient should be taught this so to not worry they are having hematuria or having a serious complication.

  2. The drug does not cause photosensitivity.
    • Rationale:

      This answer is not correct because nitrofurantoin causes photosensitivity. Patients should be instructed to avoid sunlight while on this medication so the skin will not be burned. Long sleeves and other protective covering should be used if being in the sunlight is unavoidable.

  3. Patients may take the drug with antacids if gastric upset occurs.
    • Rationale:

      This answer is not correct because taking antacids with this medication will decrease absorption. Antacids should be taken 2 or more hours before or after taking nitrofurantoin.

  4. It is a narrow antibiotic effective with only gram positive bacteria.
    • Rationale:

      This answer is not correct because nitrofurantoin is a broad-spectrum antibiotic effective against many gram-negative and some gram-positive bacteria, such as E-coli, klebsiella, neisseria, salmonella, shigella, staphylococcus aureus, and enterococcus. Patient education regarding this medication includes that nitrofurantoin may cause a rusty-brownish color to urine and it causes photosensitivity. Taking antacids with this medication will decrease absorption so should be taken 2 or more hours before or after taking nitrofurantoin.

Overview

Nitrofurantoin is an antibiotic used to treat urinary tract infections (UTIs). Patient education regarding the medication includes the medication may cause a rusty-brownish color to the urine.

Explanation

Learning Outcomes

Nitrofurantoin is a macrobid class antibiotic used to treat urinary tract infections (UTIs). It works to stop the growth of bacteria which cause UTIs. The medication is a broad-spectrum antibiotic effective against many gram-negative and some gram-positive bacteria, such as E-coli, klebsiella, neisseria, salmonella, shigella, staphylococcus aureus, and enterococcus. Patient education regarding this medication includes that nitrofurantoin may cause a rusty-brownish color to urine and it causes photosensitivity. Taking antacids with this medication will decrease absorption so should be taken 2 or more hours before or after taking nitrofurantoin.

Test Taking Tip

Be sure to remember and teach unique side effects of medications, such as when a medication causes the urine to turn red, rusty, orangey-red since this can be highly alarming to patients if they are not aware. Medications which commonly turn the urine reddish, rusty, or orangey-red are rifampin, phenazopyridine, and nitrofurantoin.

Video Rationale