Nsg223 Exam 2 2024 Exam Updates With Tested And Verified Updates Rated A+

Trimethoprim-Sulfamethoxazole {Ans: -Therapeutic class: Antibacterial -Pharmacologic class: Sulfonamide -Actions/uses: UTIs, inhibit bacterial metabolism of folic acid, synergistic -Complications: N/V, crystalluria, oliguria, renal failure, blood dycrasias, photosensitivity -Contraindications: renal impairment -Interactions: INCREASES methotrexate toxicity -Nursing considerations: administer oral dosages w/full glass of water; pregnancy category D}Paroxetine {Ans: -Therapeutic class: SSRI -Actions: SSRI-> allowing more serotonin to stay at junction of neurons; for generalized anxiety disorder, panic disorder, OCD, & social anxiety disorder -Complications: Early: nausea, diaphoresis, tremor, fatigue, drowsiness; Later: sexual dysfunction, weight gain, GI bleeding, serotonin syndrome, bruxism, withdrawal symptoms; postural hypotension -Nursing considerations: report sexual dysfunction; well balanced diet; exercise regularly; monitor indications of bleeding; TAPER MEDS SLOWLY -> do not dc abruptly}Metronidazole {Ans: -Therapeutic class: anti protozoan -Actions/uses: for most forms of amebiasis, giardiasis, and trichomoniasis; has antibiotic activity against anaerobic bacteria -Complications: anorexia, N/D, dizziness, headache, dry mouth, unpleasant metallic taste -Interactions: alcohol causes a disulfiram-like reaction -Nursing considerations: ER form take on empty stomach; contraindicated in first trimester of pregnancy; pregnancy category B}Ciprofloxacin {Ans: -Therapeutic class: Antibacterial -Pharmacologic class: fluoroquinolone -Actions/uses: inhibit bacterial DNA gyrase; affects bacterial replication and DNA repair; against gram-negative -Complications: N/V/D, photosensitivity, headache, dizziness -Interactions: antacids, ferrous sulfate,