Chapter 31: Sulfonamides

Chapter 31: Sulfonamides

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which is a characteristic that distinguishes sulfonamides from other drugs used to treat bacterial infection?

a.	Sulfonamides are bactericidal.
b.	Sulfonamides are derived from biologic substances.
c.	Sulfonamides have antifungal and antiviral properties.
d.	Sulfonamides increase bacterial synthesis of folic acid.

 

 

ANS:  B

Sulfonamides are bacteriostatic, not bactericidal. They are not derived from biologic substances. They are not antifungals or antivirals. They act by decreasing bacterial synthesis of folic acid.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 429

TOP:   NURSING PROCESS: N/A

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. The nurse is counseling a patient who will begin taking a sulfonamide drug to treat a urinary tract infection. What information will the nurse include in teaching?

a.	“Drink several quarts of water daily.”
b.	“If stomach upset occurs, take an antacid.”
c.	“Limit sun exposure to no more than 1 hour each day.”
d.	“Sore throat is a common, harmless side effect.”

 

 

ANS:  A

Patients should drink several quarts of water daily while taking sulfonamides to prevent crystalluria. Patients should not take antacids with sulfonamides. Patients should not go out into the sun. Sore throat should be reported.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 430

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim, Septra) to treat a urinary tract infection reports vaginal itching and discharge. The nurse will perform which action?

a.	Ask the patient if she might be pregnant.
b.	Reassure the patient that this is a normal side effect.
c.	Report a possible superinfection to the provider.
d.	Suspect that the patient is having a hematologic reaction.

 

 

ANS:  C

Superinfection can occur with a secondary infection. Vaginal itching and discharge is a sign of superinfection. This is not symptomatic of pregnancy. These are not common side effects and do not indicate a hematologic reaction.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 432

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A patient who will begin taking trimethoprim-sulfamethoxazole (TMP-SMX) asks the nurse why the combination drug is necessary. The nurse will explain that the combination is used to

a.	broaden the antibacterial spectrum.
b.	decrease bacterial resistance.
c.	improve the taste.
d.	minimize toxic effects.

 

 

ANS:  B

The combination drug is used to decrease bacterial resistance to sulfonamides. It does not broaden the spectrum, improve the taste, or decrease toxicity.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 429

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies