A nurse is emptying a client’s urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Urinary tract infection.

Dehydration.

Kidney stones.

Liver disease.

Answer and Explanation

The Correct Answer is A

Choice A rationale
A urinary tract infection (UTI) is a common cause of dark amber, cloudy urine with an unpleasant odor. UTIs are caused by bacteria that infect the urinary tract, leading to inflammation and the presence of pus or white blood cells in the urine. This can result in cloudy urine with a strong odor. Prompt treatment with antibiotics is necessary to resolve the infection and prevent complications.
Choice B rationale
Dehydration can cause dark amber urine, but it does not typically cause cloudiness or an unpleasant odor. Dehydration leads to concentrated urine, which appears darker in color. However, the presence of cloudiness and odor suggests an infection rather than dehydration.
Choice C rationale
Kidney stones can cause dark urine if there is bleeding, but they do not typically cause cloudiness or an unpleasant odor. The passage of a kidney stone can lead to hematuria (blood in the urine), which may darken the urine. However, the symptoms described are more indicative of a urinary tract infection.
Choice D rationale
Liver disease can cause dark urine due to the presence of bilirubin, but it does not typically cause cloudiness or an unpleasant odor. Dark urine in liver disease is usually accompanied by other symptoms such as jaundice, pale stools, and fatigue. The combination of dark, cloudy urine with an unpleasant odor is more suggestive of a urinary tract infection. .

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Correct Answer is D

Explanation

Choice A rationale
Administering the medication with each meal is incorrect. Clopidogrel can be taken with or without food, and there is no specific requirement to administer it with each meal. The primary concern with clopidogrel is monitoring for signs of bleeding.
Choice B rationale
Initiating contact precautions is incorrect. Clopidogrel is an antiplatelet medication and does not require contact precautions. Contact precautions are typically used for infections that can be transmitted through direct or indirect contact.
Choice C rationale
Having suction equipment at the bedside is incorrect. Suction equipment is not necessary for clients taking clopidogrel. The primary concern with clopidogrel is monitoring for signs of bleeding, not respiratory issues.
Choice D rationale
Monitoring the client for black, tarry stools is correct. Clopidogrel increases the risk of bleeding, and black, tarry stools can be an indication of gastrointestinal bleeding. It is important to monitor for this adverse effect to ensure the client’s safety.

A. The medication causes amenorrhea if taken along with an oral contraceptive. B. You should wear glasses instead of contacts while taking this medication. C. A yellow tint to the skin is an expected reaction to the medication. D. Lifelong treatment with this medication is necessary.

Correct Answer is B

Explanation

Choice A rationale
Rifampin does not cause amenorrhea when taken with oral contraceptives. However, it can reduce the effectiveness of hormonal contraceptives, including oral contraceptives, due to its enzyme-inducing properties. This means that women taking rifampin should use an alternative or additional non-hormonal method of contraception to prevent pregnancy.
Choice B rationale
Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. This is why it is recommended to wear glasses instead of contact lenses while taking this medication.
Choice C rationale
A yellow tint to the skin is not an expected reaction to rifampin. However, rifampin can cause a harmless red-orange discoloration of body fluids such as urine, sweat, saliva, and tears.
Choice D rationale
Lifelong treatment with rifampin is not necessary. The duration of treatment for active tuberculosis typically ranges from 6 to 9 months, depending on the specific treatment regimen and the patient’s response to therapy.

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A nurse is emptying a client’s urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?

A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?

A nurse is reinforcing dietary instructions with a client who has episodes of biliary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?

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A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?