A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take?
Ask the patient about current medications.
Question the patient about urinary tract infection risk factors.
Teach correct midstream urine collection.
Notify the patient's health care provider.
The Correct Answer is A
A. Ask the patient about current medications: Certain medications, such as phenazopyridine or rifampin, can cause red-orange discoloration of the urine. Assessing the patient’s medication history helps determine whether the color change is a harmless side effect or a sign of pathology, guiding appropriate follow-up actions.
B. Question the patient about urinary tract infection risk factors: While assessing for UTI risk factors is important, it does not directly explain red-orange urine. Medication-related discoloration is a more immediate and likely cause that should be evaluated first.
C. Teach correct midstream urine collection: Proper collection technique prevents contamination and ensures accurate laboratory results but does not address the current concern of red-orange urine.
D. Notify the patient's health care provider: Notifying the provider may be necessary if a pathological cause is suspected, but the initial step is to gather information about medications to determine whether the discoloration is expected and harmless.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Balance the scale at minus two before weighing the client: Scales should always be zeroed before use to ensure accuracy, not preset to minus two. Incorrect scale preparation would give inaccurate weight readings, making this an inappropriate action.
B. Weigh the client after he has voided: Daily weights are the best indicator of fluid balance in clients with chronic kidney disease. Weighing after voiding ensures consistency and accuracy by reducing variation caused by bladder volume.
C. Obtain the weight each day at a time most convenient for the client: Weights should be taken at the same time every day, preferably in the morning before breakfast, to maintain accuracy. Choosing times based only on convenience can result in inconsistent measurements.
D. Use any available scale to weigh the client: The same scale should always be used for daily weights, as different scales may give slightly different readings. Switching between scales would compromise the accuracy of weight monitoring.
Correct Answer is D
Explanation
A. Blood pressure 98/56 mm Hg: A slightly low blood pressure is not a contraindication to epoetin alfa administration. The major concern with this medication is hypertension, not hypotension, so this finding would not prevent giving the dose.
B. Creatinine 1.6 mg/dL: Elevated creatinine is expected in end-stage kidney disease and does not affect the decision to administer epoetin alfa. This medication is used specifically to manage anemia related to chronic kidney disease.
C. Oxygen saturation 89%: A low oxygen saturation reflects hypoxemia, but epoetin alfa does not treat oxygenation problems directly. Supplemental oxygen and pulmonary assessment would be the priority, but this finding is not a contraindication to giving the drug.
D. Hemoglobin level 13 g/dL: Epoetin alfa stimulates red blood cell production, and giving it when hemoglobin is already elevated increases the risk of serious adverse effects such as thrombosis, stroke, and hypertension. Reporting this value is essential drug administration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.