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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A urinary tract infection (UTI) is a common cause of dark amber, cloudy urine with an unpleasant odor. UTIs are caused by bacteria that infect the urinary tract, leading to inflammation and the presence of pus or white blood cells in the urine. This can result in cloudy urine with a strong odor. Prompt treatment with antibiotics is necessary to resolve the infection and prevent complications.
Choice B rationale
Dehydration can cause dark amber urine, but it does not typically cause cloudiness or an unpleasant odor. Dehydration leads to concentrated urine, which appears darker in color. However, the presence of cloudiness and odor suggests an infection rather than dehydration.
Choice C rationale
Kidney stones can cause dark urine if there is bleeding, but they do not typically cause cloudiness or an unpleasant odor. The passage of a kidney stone can lead to hematuria (blood in the urine), which may darken the urine. However, the symptoms described are more indicative of a urinary tract infection.
Choice D rationale
Liver disease can cause dark urine due to the presence of bilirubin, but it does not typically cause cloudiness or an unpleasant odor. Dark urine in liver disease is usually accompanied by other symptoms such as jaundice, pale stools, and fatigue. The combination of dark, cloudy urine with an unpleasant odor is more suggestive of a urinary tract infection. .
Correct Answer is C
Explanation
Choice A rationale
An indurated area of 4 millimeters is not considered a positive result for tuberculin skin testing. The size of induration considered positive varies based on the individual’s risk factors and health status.
Choice B rationale
The injection site for a tuberculin skin test should be evaluated between 48 and 72 hours after administration, not within 24 hours. Evaluating it too early may not provide accurate results.
Choice C rationale
A positive result in a tuberculin skin test indicates that the person has been infected with TB bacteria, but it does not necessarily mean they have active TB disease. Further tests are needed to determine if the disease is active.
Choice D rationale
A previous negative result does not preclude the administration of a new tuberculin skin test. Individuals can be retested if there is a new risk of exposure or if it is required for medical or occupational reasons.
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