A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan?

Choice A reason: Phenazopyridine is a urinary tract analgesic used to relieve symptoms such as burning, pain, and urgency during urination. It should reduce burning during urination, not cause it.

Choice B reason: The correct answer is b because reddish-orange urine is a common and expected side effect of phenazopyridine. The medication can cause discoloration of urine, which is harmless but important for clients to be aware of to avoid unnecessary concern.

Choice C reason: Visual disturbances are not a known side effect of phenazopyridine. Clients should be informed to report any unusual symptoms, but this is not typically associated with the medication.

Choice D reason: Lethargy is also not a common side effect of phenazopyridine. The medication primarily acts on the urinary tract and does not generally cause significant systemic effects.

Choice A reason: Limiting fluid intake is not an appropriate intervention for labyrinthitis. Adequate hydration is important for overall health and should be maintained.

Choice B reason: The correct answer is b because labyrinthitis can affect the vestibular system, leading to dizziness and vertigo. Monitoring the client’s cardinal fields of vision helps assess for nystagmus, which is a common symptom of vestibular disorders.

Choice C reason: Encouraging ambulation is not advisable for clients with labyrinthitis, as it can increase the risk of falls and injury due to dizziness and imbalance.

Choice D reason: Ensuring the room is brightly lit is not necessary for the management of labyrinthitis and may not provide any therapeutic benefit.