C.J continues to have recurrent urinary tract infections and the physician order
ID: 127372 • Letter: C
Question
C.J continues to have recurrent urinary tract infections and the physician orders nitrofurantoin daily for 90 days.
When completing your initial assessment and patient history what would be concerning to you as the RN?
What are the side effects/adverse reactions/contraindications of nitrofurantoin?
What are the nursing interventions for this patient? Explain your answer.
What is included in teaching for a patient taking nitrofurantoin?
Patients taking antibiotics are at risk for Stevens Johnson Syndrome. Describe what this syndrome is and how it is manifested.
Need All answers correctly (Thanks)
Explanation / Answer
The patient’s vital signs, symptoms and the conditions leading to the illness will be important when completing an initial assessment and patient history as an RN. This includes;
· Assessing changes in the urinary pattern like; the frequency, urgency, or hesitancy.
· Assessing the patient’s knowledge regarding antimicrobials and preventive health care measures.
· Assessing the characteristics of the patient’s urine such as the color, concentration, odor, volume, and cloudiness.
Side effects of nitrofurantoin are:
Macrobid is contraindicated in patients with a previous history of cholestatic jaundice/hepatic dysfunction associated with nitrofurantoin. Macrobid is also contraindicated in those patients with known hypersensitivity to nitrofurantoin.
Nurses the nursing interventions for patients with urinary tract infection in all settings.
· Relieve pain; by giving Antispasmodic agents; it may also relieve bladder irritability and analgesics and application of heat helps relieve pain and spasm.
· Fluids: the patients should be encouraged to drink liberal amounts of fluids to promote renal blood flow and to flush bacteria from the urinary tract.
· Voiding. Encouraging frequent voiding every 2 to 3 hours to empty the bladder as this significantly lowers urine bacterial counts, reduces urinary stasis, and prevents reinfection.
· Irritants. Avoiding urinary irritants such as coffee, tea, colas, and alcohol.
In teaching for a patient taking nitrofurantoin the important things are teaching about the side effects and contradictions.
Stevens-Johnson Syndrome is a severe reaction to an antibiotic taken. It causes the skin to blister and peel off and may affect the mucous membranes, too.
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