Question

after obtaining a urine specimen for culture and sensitivity, mrs. jordan is prescribed a urinary antiseptic, nitrofurantoin 100 mg po every 8 hours. describe the action for this classification of medication. what potential adverse effects should you monitor the client for and what nursing actions should be in the plan of care for a client taking this medication?

Explanation:

Nitrofurantoin is a urinary antiseptic. Its action involves interfering with bacterial enzyme systems to prevent bacterial cell wall synthesis and DNA - RNA function in the urinary tract. Potential adverse effects include gastrointestinal disturbances (nausea, vomiting, diarrhea), hypersensitivity reactions (rash, itching, fever), and pulmonary reactions (cough, dyspnea). Nursing actions should include monitoring for these adverse effects, administering the drug with food to reduce gastrointestinal upset, and educating the client about the importance of completing the full course of treatment.

Answer:

Action: Interferes with bacterial enzyme systems, prevents cell - wall synthesis and DNA - RNA function in urinary tract. Adverse effects to monitor: Gastrointestinal disturbances, hypersensitivity reactions, pulmonary reactions. Nursing actions: Monitor for adverse effects, administer with food, educate on completing treatment.