121k views
5 votes
A patient will be receiving nitrofurantoin (Macrodantin) treatment for a urinary tract infection. The nurse is reviewing the patient's history and will question the nitrofurantoin order if which disorder is present in the history?

a. Liver disease
b. Coronary artery disease
c. Hyperthyroidism
d. Type 1 diabetes mellitus
e. Chronic renal disease

User Eric Kim
by
7.9k points

1 Answer

3 votes

Final answer:

Chronic renal disease is the disorder in a patient's history that should prompt a nurse to question the use of nitrofurantoin for UTI treatment, as it can cause further kidney damage or lead to suboptimal therapeutic levels due to impaired drug clearance.

Step-by-step explanation:

A nurse reviewing a patient's history before administering nitrofurantoin for a urinary tract infection should question the nitrofurantoin order if which disorder is present in the history. Among the options provided, the disorder that would warrant questioning the use of nitrofurantoin is chronic renal disease. This is because nitrofurantoin is primarily excreted by the kidneys, and in patients with renal impairment, its accumulation can lead to further kidney damage or suboptimal therapeutic levels. Liver disease, coronary artery disease, hyperthyroidism, and type 1 diabetes mellitus do not have the same level of contraindication for nitrofurantoin use as chronic renal disease does.

User Ori Lentz
by
9.0k points