A client who following prescribed multiple medications for recurring urinary tract infections tells the nurse that her urine has turned red-orange. Which of the following prescribed medications does the nurse suspect is responsible for this change?

Nitrofurantoin (Macrobid)

Sulfamethoxzole-trimethoprim (SMX TMP) Bactrim)

This is expected with a UTI not related to medications.

Phenazopryidine (Pyridium)

Answer and Explanation

The Correct Answer is D

A) Nitrofurantoin (Macrobid): While nitrofurantoin is commonly prescribed for urinary tract infections (UTIs), it does not typically cause a red-orange discoloration of the urine. Nitrofurantoin may cause other side effects, such as gastrointestinal upset or pulmonary issues, but urine discoloration is not a common or expected side effect.

B) Sulfamethoxazole-trimethoprim (SMX TMP, Bactrim): Sulfamethoxazole-trimethoprim is another common medication for UTIs, but it does not cause urine to turn red-orange. Some individuals may experience allergic reactions, rash, or gastrointestinal side effects, but urine discoloration is not typically associated with this medication.

C) This is expected with a UTI not related to medications: While it’s true that UTIs can cause changes in urine color due to blood or infection, the red-orange discoloration specifically linked to a UTI is often caused by medications, not the infection itself. Therefore, this statement is not accurate in explaining the cause of the urine color change.

D) Phenazopyridine (Pyridium): This is the correct answer. Phenazopyridine is a medication commonly used to alleviate urinary tract pain and discomfort. One of its well-known side effects is causing urine to turn a red-orange color. This discoloration is harmless and typically resolves once the medication is discontinued. However, patients should be informed about this effect to avoid unnecessary concern.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Have the client lay prone for 30 minutes. 3-4 times a day:
This statement is correct. Lying prone (on the stomach) for 30 minutes several times a day helps to prevent hip flexion contractures, which are common complications after an above-the-knee amputation. By lying prone, the residual limb is stretched and the hip joint is kept in an extended position, which helps maintain proper alignment and reduces the risk of contractures. This is a key part of postoperative care to promote optimal positioning and rehabilitation.

B. Continue using the limb prosthesis even if the skin appears irritated:
This statement is incorrect. If the skin becomes irritated or damaged, the prosthesis should not be used until the skin has healed. Continued use of the prosthesis in the presence of skin irritation can cause further damage, leading to ulcers or infections. It is essential to regularly check the residual limb for irritation, redness, or sores and adjust the prosthesis as needed. If irritation is present, the prosthesis should be removed, and appropriate skin care should be provided.

C. Withhold medication for phantom limb pain as it isn't real pain:
This statement is incorrect. Phantom limb pain is real and a common experience for individuals after an amputation. It occurs when the brain perceives pain sensations in the area where the limb used to be, even though the limb is no longer there. Phantom limb pain is often treated with pain medications, including analgesics, anticonvulsants, or antidepressants, and should not be withheld. Proper management of phantom limb pain is important for the client's comfort and overall well-being.

D. Keep the residual limb elevated to achieve as close to 90-degree hip flexion as possible:
This statement is incorrect. While it is important to elevate the residual limb after surgery to reduce swelling, it should not be elevated to the point where the hip joint is flexed to 90 degrees. Elevating the limb too much or for prolonged periods can increase the risk of developing a hip flexion contracture, which would impair mobility. The residual limb should be elevated slightly, but the hip joint should not be excessively flexed. Ideally, the limb should be positioned in a neutral or extended position when elevated.

A. Local aesthetics will be given to numb a specific area. B. The patient will be given inhaled and IV medications to make them unconscious and an endotracheal tube will be inserted. C. "Medications will be injected into the area of a major nerve to produce anesthesia in a region of the body D. Medications will be given to reduce anxiety and pain with the patient still awake and able to protect their own airway

Correct Answer is D

Explanation

Moderate sedation (also called conscious sedation) involves the administration of medications (e.g., midazolam, fentanyl, or propofol) to reduce anxiety, pain, and awareness during procedures, while allowing the patient to:

Remain awake but relaxed
Respond to verbal commands
Maintain their own airway without the need for intubation

It is commonly used for minor surgical procedures, endoscopies, and dental procedures.

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A client who following prescribed multiple medications for recurring urinary tract infections tells the nurse that her urine has turned red-orange. Which of the following prescribed medications does the nurse suspect is responsible for this change?

Nursing Test Bank

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