. The nurse is caring for a client who appears anxious and fearful. The client has recently been seen for a urinary tract infection and reports their urine has turned an orange-red color. What is the best response by the nurse?
"This may mean that your liver is failing and you need immediate medical attention."
"This is an expected finding for someone with a diet high in red meat.”
“This is a symptom that your urinary tract infection is worsening. I will notify the provider.”
“This is an expected finding if you are taking the over the counter medication, Phenazopyridine.”
The Correct Answer is D
A. "This may mean that your liver is failing and you need immediate medical attention." This statement is misleading; orange-red urine is not typically a sign of liver failure, especially in the context of a urinary tract infection.
B. "This is an expected finding for someone with a diet high in red meat." While diet can affect urine color, red meat is not commonly associated with orange-red urine; this is not a relevant response given the client's context.
C. “This is a symptom that your urinary tract infection is worsening. I will notify the provider.” While it is important to monitor urinary tract infections, orange-red urine is more likely related to the use of phenazopyridine rather than a worsening infection.
D. “This is an expected finding if you are taking the over-the-counter medication, Phenazopyridine.” Phenazopyridine is known to cause orange-red discoloration of urine, and this statement provides reassurance to the client regarding their symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Digoxin: Digoxin requires caution with elevated potassium levels, as hyperkalemia can increase the risk of digoxin toxicity. A potassium level of 5.3 mEq/L is borderline high, so it should be used cautiously.
B. Lisinopril: Lisinopril, an ACE inhibitor, can also increase potassium levels. It may not be the best choice for this client due to the elevated potassium.
C. Potassium iodide: Potassium iodide would further increase the client's potassium level and is contraindicated.
D. Furosemide: Furosemide is a loop diuretic that can help to lower serum potassium levels by promoting potassium excretion. Therefore, it is appropriate for this client with an elevated potassium level.
Correct Answer is D
Explanation
A. Bradycardia: Bradycardia is not a common side effect of diphenhydramine. This medication primarily causes sedation and anticholinergic effects.
B. Hypertension: Hypertension is not commonly associated with diphenhydramine, which tends to have more sedative and anticholinergic side effects.
C. Bleeding: Bleeding is not a known side effect of diphenhydramine. It does not affect clotting mechanisms or platelet function.
D. Sedation: Sedation is a common side effect of diphenhydramine, which is an antihistamine with sedative properties. Clients should be advised about possible drowsiness and to avoid activities that require alertness, like driving, while taking it.
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