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The nurse administers which of the following prescribed medications to a client with recurrent urinary tract infections caused by Escherichia coli? A. Hyoscyamine sulfate (Levsin) B. Bethanechol chloride (Urecholine) C. Sulfamethoxazole and trimethoprim (Bactrim DS) D. Phenazopyridine hydrochloride (Pyridium

Question

The nurse administers which of the following prescribed medications to a client with recurrent urinary tract infections caused by Escherichia coli?

A. Hyoscyamine sulfate (Levsin) B. Bethanechol chloride (Urecholine) C. Sulfamethoxazole and trimethoprim (Bactrim DS) D. Phenazopyridine hydrochloride (Pyridium

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Solution

To determine the appropriate medication for a client with recurrent urinary tract infections caused by Escherichia coli, we need to consider the options provided. Let's go through each option step by step:

A. Hyoscyamine sulfate (Levsin): This medication is primarily used to treat symptoms of irritable bowel syndrome and urinary incontinence. It is not typically prescribed for urinary tract infections caused by Escherichia coli.

B. Bethanechol chloride (Urecholine): Bethanechol chloride is a medication that helps stimulate bladder contractions. While it may be used to treat urinary retention, it is not typically prescribed for urinary tract infections caused by Escherichia coli.

C. Sulfamethoxazole and trimethoprim (Bactrim DS): This combination medication is commonly used to treat urinary tract infections caused by Escherichia coli. It works by inhibiting the growth of bacteria. Therefore, this option is a potential choice for the nurse to administer to the client.

D. Phenazopyridine hydrochloride (Pyridium): Phenazopyridine hydrochloride is a medication that helps relieve urinary pain and discomfort. While it can provide symptomatic relief, it does not treat the underlying infection caused by Escherichia coli. Therefore, it is not the primary medication for this condition.

Based on the options provided, the nurse would most likely administer C. Sulfamethoxazole and trimethoprim (Bactrim DS) to the client with recurrent urinary tract infections caused by Escherichia coli. However, it is important to note that the final decision should be made by a healthcare professional after considering the client's specific condition and medical history.

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