A nurse is caring for a client receiving phenazopyridine (Azo) for urinary tract analgesia. Which of the following side effects is associated with phenazopyridine?
Increase in blood pressure
Vomiting
Orange colored urine
Dizziness
The Correct Answer is C
A. Phenazopyridine does not typically cause an increase in blood pressure; this effect is not associated with the medication.
B. While gastrointestinal upset can occur, vomiting is not a primary or expected side effect of phenazopyridine.
C. A well-known side effect of phenazopyridine is orange or reddish urine, which results from the drug's dye properties.
D. Dizziness is not a common side effect; while it can occur, it is less specific to phenazopyridine compared to the characteristic orange urine.
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Related Questions
Correct Answer is ["B","C","F"]
Explanation
B. Aged cheeses like cheddar contain high levels of tyramine, which can trigger hypertensive crises in clients taking MAOIs.
C. Smoked and cured meats, such as sausage, are high in tyramine and should be avoided.
F. Red wine is another common source of tyramine, and consumption should be avoided while taking MAOIs.
A. Fruit juices are generally low in tyramine and do not need to be excluded.
D. Cereal is not typically high in tyramine, so it is safe to consume.
E. Grilled chicken, as a fresh protein source, is low in tyramine and safe for clients on MAOIs.
Correct Answer is B
Explanation
A. A high first-pass effect means that a significant amount of the drug is metabolized by the liver before reaching systemic circulation, making oral administration less effective.
B. Morphine with a high first-pass effect will be more effective when administered via non-enteral routes, such as IV or subcutaneous, to bypass the liver's initial metabolism.
C. The first-pass effect does not influence the kidney’s rate of excretion but rather the liver’s initial metabolism of the drug.
D. The liver, not the kidneys, is responsible for the first-pass metabolism, which occurs before the drug reaches systemic circulation when taken orally.
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