C.J continues to have recurrent urinary tract infections and the physician orders nitrofurantoin daily for 90...

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.

Expert Solution

Answer 1:

Nitrofurantoin is an antibiotic prescribed in cases of bladder infection. Urinary tract infections (UTI) could be due to infection in kidneys, bladder, urethra, or ureters. In the patient, the UTI is recurrent indicating the chronic UTI. Nitrofuratoin is ineffective for the kidney infections. Hence, in case, UTI is recurring due to infection in the kidney, it will not be treated by Nitrofurantoin. Assessment of urine samples and patient history of medicines and its effect is decisive for further treatment as it enables the correct medication and treatment of the patient.

Answer 2:

The side effects of nitrofurantoin include vomiting, nausea, stomach pain, loss of appetite, numbness or pain in feet and hands, weakness, and diarrhea.

Answer 3:

Nursing intervention in case of UTI includes the following:

Assessing the elimination patterns to study the appropriate interventions.
The nurse needs to check the patient's bladder by palpating to determine the retention of urine.
The liquid consumption is encouraged as it aids in improving renal blood flow.
The patient is encouraged to empty the bladder every 2-3 hours. It reduces the bacteria in the infected area.

Answer 4:

Teaching for a patient taking nitrofurantoin:

the antibiotic is commonly prescribed for a week or more.
It should be taken with a glass full of water along after meals.
The antibiotic must be taken every day at the same time.
The prescription must be followed strictly and carefully.
The patient should be advised to contact the doctor in case of confusion with medicines.

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