A common adverse effect from phenazopyridine hydrochloride (Pyridium) administration for UTI that the nurse should teach the patient is that Pyridium:

Changes bodily secretions to alkaline.

Changes bodily secretions to pinkish.

Changes bodily secretions to reddish orange.

Changes bodily secretions to black.

Answer and Explanation

The Correct Answer is C

Phenazopyridine hydrochloride (Pyridium) is a urinary tract analgesic that can relieve the pain, burning, and discomfort caused by infection or irritation of the urinary tract. However, it can also cause some side effects, one of which is changing the color of bodily secretions to reddish orange. This is due to the excretion of the drug in the urine, saliva, sweat, and tears. The color change is harmless and usually disappears when the drug is stopped.

Choice A is wrong because phenazopyridine does not change bodily secretions to alkaline. In fact, it may interfere with the urine test that measures acidity (pH) and glucose.

Choice B is wrong because phenazopyridine does not change bodily secretions to pinkish. However, some other drugs, such as rifampin and doxorubicin, may cause urine to turn red or pink.

Choice D is wrong because phenazopyridine does not change bodily secretions to black. However, some other drugs, such as metronidazole and nitrofurantoin, may cause urine to turn brown or dark yellow.

Some other common side effects of phenazopyridine include headache, dizziness, indigestion, and stomach pain. Some serious side effects include skin itching, interference with the oxygen-carrying capacity of red blood cells, hemolytic anemia, and renal and hepatic toxicity.

These problems are more common in people who have existing kidney problems or take more than recommended. If you experience any of these symptoms, stop taking phenazopyridine hydrochloride and talk to a healthcare provider right away.

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Correct Answer is D

Explanation

Alpha 1 adrenergic blocking agents have a vasodilating effect and can be used for the management of hypertension.They work by preventing the hormone norepinephrine from tightening the muscles in the walls of smaller arteries and veins, thus lowering the blood pressure.Some examples of alpha 1 blockers are doxazosin, prazosin, and terazosin.

Choice A is wrong because alpha 3 adrenergic blockers do not exist.There are only two subtypes of alpha receptors: alpha 1 and alpha 2.

Choice B is wrong because alpha 2 adrenergic antagonists are not used for hypertension.They are used for conditions like attention deficit hyperactivity disorder (ADHD) and opioid withdrawal.Alpha 2 antagonists block the negative feedback mechanism of norepinephrine release, thus increasing the amount of norepinephrine in the blood and raising the blood pressure.

Choice C is wrong because alpha 1 adrenergic agonists have the opposite effect of alpha 1 blockers.They stimulate the alpha 1 receptors and cause vasoconstriction, which increases the blood pressure.Alpha 1 agonists are used for conditions like nasal congestion and hypotension.

A. They are a part of the initial diuretic therapy. B. They decrease the risk of hypokalemia while still excreting sodium. C. Little follow up is needed after the initial treatment. D. They increase the risk of hypokalemia.

Correct Answer is B

Explanation

Diuretics are drugs that increase the amount of urine and salt (sodium) excreted by the kidneys. They are used to treat high blood pressure, heart failure, and edema (fluid retention). However, some diuretics can cause low levels of potassium in the blood (hypokalemia), which can lead to muscle weakness, cramps, and arrhythmias. To prevent this, a combination of diuretics acting on different parts of the kidney (such as a loop diuretic and a thiazide diuretic) may be prescribed.This way, the potassium-sparing effect of one diuretic can balance the potassium-wasting effect of the other, while still achieving a net sodium loss.

Choice A is wrong because they are not a part of the initial diuretic therapy.Combination diuretic therapy is usually reserved for patients who are resistant to or intolerant of monotherapy.

Choice C is wrong because little follow up is not needed after the initial treatment.Patients on combination diuretic therapy require close monitoring of their blood pressure, electrolytes, renal function, and weight to avoid adverse effects such as dehydration, hyponatremia, hypotension, and worsening renal function.

Choice D is wrong because they do not increase the risk of hypokalemia.As explained above, combination diuretic therapy aims to reduce the risk of hypokalemia by using a potassium-sparing diuretic along with a potassium-wasting diuretic.

Normal ranges for serum potassium are 3.5 to 5.0 mmol/L and for serum sodium are 135 to 145 mmol/L.

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A common adverse effect from phenazopyridine hydrochloride (Pyridium) administration for UTI that the nurse should teach the patient is that Pyridium:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following Alpha adrenergic class has a vasodilating effect and can be used for the management of hypertension?

Correct Answer is D

Explanation

A nurse understands that a common reason why a patient is prescribed a combination of diuretics is because?

Correct Answer is B

Explanation

A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol?

For peripheral venous disease, the nurse will teach the patient to do what in order to promote blood circulation?

Match the following drug classification with the appropriate drug,

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who is starting simvastatin. Which of the following information should the nurse include?

Patients taking which cholesterol-lowering agent may require supplements of fat-soluble vitamins A, D, E, and K?

A patient has been placed on a loop diuretic to reduce the fluid that has been accumulating in the lungs. Which statement made by the patient indicates a need for further teaching about the medication by the nurse?

A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks. Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.