Practice Question
The nurse educates a client regarding the use of nitrofurantoin for the treatment of pyelonephritis. What statement made by the client indicates further teaching is required?
Answer Choices:
Correct Answer:
“It is safe to take this medication throughout my pregnancy."
Rationale:
🔷 Nitrofurantoin is generally avoided in the last trimester (after 38 weeks) because it can cause hemolytic anemia in newborns, especially those with glucose-6-phosphate dehydrogenase (G6PD) deficiency.
🔷 The drug is relatively safe in early pregnancy for urinary infections, but prolonged or late-pregnancy use requires careful provider evaluation.
🔷 Patients must always inform their healthcare provider if they are pregnant or planning pregnancy before continuing the medication.
🔷 Alternative antibiotics may be considered later in pregnancy to minimize fetal risks.
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This question is from RN Medical Surgical-Summer 2025 which contains 67 questions.
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Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4