A nurse is examining the urine output of a client with Parkinson’s disease who is on the medication Levodopa. Which of the following is a common observation for a client on this medication?
The urine may be brown or black.
The urine may be orange or orange-red.
The urine may be green or blue-green.
The urine may be blood-tinged.
The Correct Answer is B
Choice A rationale:
Brown or black urine is not a typical observation associated with Levodopa use. It can indicate other potential causes, such as: Dehydration
Liver disease
Rhabdomyolysis (muscle breakdown)
Certain medications like metronidazole or iron supplements
Hematuria (blood in the urine)
It's essential to rule out these conditions if brown or black urine is observed.
Choice C rationale:
Green or blue-green urine is also not common with Levodopa. It can be caused by:
Medications like amitriptyline, indomethacin, propofol, or methylene blue
Certain food dyes
Urinary tract infections caused by Pseudomonas bacteria
Familial benign hypercalcemia (a rare genetic condition)
Choice D rationale:
Blood-tinged urine (hematuria) is not a direct effect of Levodopa. It can signal underlying urinary tract issues, such as: Infections
Kidney stones
Bladder or kidney tumors
Trauma to the urinary tract
Strenuous exercise
Choice B rationale:
Orange or orange-red urine is the most common observation in patients taking Levodopa. This discoloration is due to: Breakdown of Levodopa into dopamine and other metabolites
These metabolites can impart an orange or reddish hue to the urine
The color intensity may vary depending on dosage and individual metabolism
It's generally harmless and doesn't require medical intervention
However, it's essential to inform healthcare providers about any urine color changes to ensure proper monitoring and rule out other potential causes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Focuses on avoiding change rather than managing it effectively. Change is often necessary for improvement and growth. Seeking ways to avert it can hinder progress and prevent potential benefits.
Undermines the nurse's role as a change agent. Nurses are expected to play a proactive role in initiating and implementing change to enhance patient care and organizational effectiveness.
May lead to missed opportunities to address issues or challenges. By focusing on averting change, underlying problems may remain unaddressed, potentially compromising patient care or organizational efficiency.
Choice B rationale:
Addresses group cohesion, which is crucial for successful change implementation. Cohesive groups demonstrate better communication, collaboration, and support, facilitating acceptance and adaptation to change.
Recognizes that change can disrupt group dynamics and relationships. Assessing group cohesion allows for identification of potential challenges and development of strategies to strengthen relationships and foster teamwork during the change process.
Highlights the importance of considering the social and relational aspects of change. Change is not only a technical process; it involves individuals with emotions, beliefs, and social connections that need to be considered for successful implementation.
Choice C rationale:
Assesses the group's overall openness and willingness to accept change. Some groups may be more resistant to change due to past experiences, fear of the unknown, or attachment to existing practices.
Determines if the change aligns with the group's values and beliefs. Change that conflicts with deeply held values is likely to encounter stronger resistance and may require additional strategies to address concerns and build consensus.
Recognizes that not all groups are equally adaptable to change. Understanding the group's amenability to change helps in tailoring implementation strategies and managing potential resistance.
Choice D rationale:
Evaluates the group's preparedness for change in terms of knowledge, skills, and resources. Insufficient preparation can lead to confusion, frustration, and decreased effectiveness during the change process.
Considers the group's emotional readiness to accept and adapt to change. Even if a change is technically feasible, emotional resistance can hinder its success. Assessing readiness allows for addressing concerns and providing support to facilitate the transition.
Ensures that the group has the necessary support and resources to implement the change successfully. Change often requires training, guidance, and time for adjustment. Providing adequate support systems is essential for successful implementation.
Correct Answer is D
Explanation
Choice A rationale:
The female urethra is not significantly longer than the male urethra. In fact, it is considerably shorter. The average length of the female urethra is about 4 cm (1.5 inches), while the average length of the male urethra is about 20 cm (8 inches). This difference in length has important implications for catheterization, as it means that the female urethra is more easily accessible and less likely to be damaged during the procedure.
Choice B rationale:
The female urethra does have a distinct anatomy and nerve innervation compared to the male urethra. However, these differences are not as relevant to the process of catheterization as the difference in length. The key anatomical difference to consider is the location of the urethral opening. In females, the urethral opening is located just above the vaginal opening, while in males, it is located at the tip of the penis. This difference in location means that different techniques are required for catheterizing males and females.
Choice C rationale:
The female urethra is connected to the bladder. This is a fundamental anatomical fact that is essential for understanding the process of urination. The urethra is the tube that carries urine from the bladder to the outside of the body. In females, the urethra is also involved in sexual intercourse and childbirth.
Choice D rationale:
This is the correct answer. The female urethra is considerably shorter than the male urethra. This difference in length is important to consider when catheterizing a female patient, as it means that the urethra is more easily accessible and less likely to be damaged during the procedure.
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