Pharmacology Antibiotics #13

Question

A patient calls the nurse and complains of urgency and dysuria after four days of taking a friend’s antibiotic. The nurse instructs the patient to come to the office and explains the reason in which statement?

Answers

  1. "A urine sample is needed to help the provider prescribe the correct medication."
    • Rationale:

      This answer is correct because patients with urinary tract infections (UTIs) should have a urine sample tested and a culture and sensitivity performed to determine appropriate treatment. Taking another person’s prescription antibiotics is not appropriate since antibiotics are prescribed for certain bacteria. Medications taken that are not prescribed can be dangerous since not only can they not be effective, but interactions between medications and allergies can pose a serious threat to the individual’s health. Patient’s shoul

  2. "Now you have ruined any chance for a correct culture report."
    • Rationale:

      This answer is not correct because shaming the patient is not appropriate and not theraeputic. Patients with urinary tract infections (UTIs) should have a urine sample tested and a culture and sensitivity performed to determine appropriate treatment. Patient’s should be taught to not take any medications not prescribed for them.

  3. "Keep taking the medication as it may take awhile to kill the bacteria."
    • Rationale:

      This answer is not correct because taking another person’s prescription antibiotics is not appropriate since antibiotics are prescribed for certain bacteria. Patients with urinary tract infections (UTIs) should have a urine sample tested and a culture and sensitivity performed to determine appropriate treatment. Medications taken that are not prescribed can be dangerous since not only can they not be effective, but interactions between medications and allergies can pose a serious threat to the individual’s health. Patient’s should be taught to not take any medications not prescribed for them.

  4. "Unless your friend’s prescription was trimethoprim/sulfamethoxazole, your condition will not improve."
    • Rationale:

      This answer is not correct because although trimethoprim/sulfamethoxazole is an antibiotic used to treat some UTIs, it is not known if this patient’s bacteria causing the UTI is sensitive to this medication without a urine culture and sensitivity. Patients with urinary tract infections (UTIs) should have a urine sample tested and a culture and sensitivity performed to determine appropriate treatment.

Overview

Antibiotics are specific to certain bacteria. Patients with urinary tract infection (UTI) symptoms should have a urine culture and sensitivity done to determine the proper treatment.

Explanation

Learning Outcomes

Patients with urinary tract infections (UTIs) should have a urine sample tested and a culture and sensitivity performed to determine appropriate treatment. Taking another person’s prescription antibiotics is not appropriate since antibiotics are prescribed for certain bacteria. Medications taken that are not prescribed can be dangerous since not only can they not be effective, but interactions between medications and allergies can pose a serious threat to the individual’s health. Patient’s should be taught to not take any medications not prescribed for them.

Test Taking Tip

Basic patient education surrounding antibiotic use includes to not take another person’s antibiotic and completely finish all antibiotics prescribed by the health care provider.

Video Rationale