A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?

Phenazopyridine hydrochloride turns the urine purple.

Administer phenazopyridine hydrochloride before meals.

Yellowing of the sclera is an expected effect of phenazopyridine hydrochloride.

Phenazopyridine hydrochloride works as a urinary tract analgesic.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Phenazopyridine hydrochloride does not turn the urine purple. Instead, it typically causes the urine to turn a reddish-orange color. This discoloration is harmless and is due to the dye properties of the medication. The purple urine bag syndrome is a rare condition associated with urinary tract infections and not with phenazopyridine hydrochloride use.
Choice B rationale
Phenazopyridine hydrochloride should be taken after meals to minimize stomach upset. Taking it before meals can increase the risk of gastrointestinal discomfort. The medication works as a urinary tract analgesic and does not require administration before meals for effectiveness.
Choice C rationale

Yellowing of the sclera is not an expected effect of phenazopyridine hydrochloride. Yellowing of the sclera, or jaundice, is typically associated with liver dysfunction or hemolysis.
Phenazopyridine hydrochloride does not cause jaundice and any yellowing of the sclera should be promptly evaluated by a healthcare provider.
Choice D rationale
Phenazopyridine hydrochloride works as a urinary tract analgesic. It provides relief from pain, burning, and discomfort caused by irritation of the urinary tract. It is not an antibiotic and does not treat the underlying infection but helps alleviate the symptoms.

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Correct Answer is C

Explanation

Choice A rationale

COPD is incorrect. Chronic obstructive pulmonary disease (COPD) is a respiratory condition and is not a risk factor for urinary tract infections (UTIs). UTIs are typically caused by bacterial infections in the urinary tract.
Choice B rationale
Anemia is incorrect. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin. It is not a direct risk factor for UTIs. UTIs are primarily caused by bacterial infections.
Choice C rationale
Diabetes mellitus is correct. Diabetes mellitus is a significant risk factor for UTIs. High blood sugar levels can create an environment that promotes bacterial growth in the urinary tract. Additionally, individuals with diabetes may have impaired immune function, making them more susceptible to infections.
Choice D rationale
Osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones and an increased risk of fractures. It is not a risk factor for UTIs. UTIs are primarily caused by bacterial infections in the urinary tract.

A. Drinking more fluid will prevent your urine from becoming brown. B. Brown-colored urine is a harmless side effect of the medication. C. The provider will change your medication because your infection is not resolving with nitrofurantoin. D. An increase of RBC destruction in your blood can result in brown-colored urine.

Correct Answer is B

Explanation

Choice A rationale
Drinking more fluid can help dilute the urine but will not prevent it from becoming brown due to the medication.
Choice B rationale
Brown-colored urine is a known harmless side effect of nitrofurantoin. It is due to the medication itself and does not indicate any harm or need for a change in treatment.
Choice C rationale
Changing the medication is not necessary unless there are other signs that the infection is not resolving. Brown-colored urine alone is not an indication of treatment failure.
Choice D rationale
An increase in RBC destruction can cause brown urine, but this is not the case with nitrofurantoin. The brown color is due to the medication and not due to RBC destruction.

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A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

Correct Answer is C

Explanation

A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?

Correct Answer is B

Explanation

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