A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?
Phenazopyridine hydrochloride turns the urine purple.
Administer phenazopyridine hydrochloride before meals.
Yellowing of the sclera is an expected effect of phenazopyridine hydrochloride.
Phenazopyridine hydrochloride works as a urinary tract analgesic.
The Correct Answer is D
Choice A rationale
Phenazopyridine hydrochloride does not turn the urine purple. Instead, it typically causes the urine to turn a reddish-orange color. This discoloration is harmless and is due to the dye properties of the medication. The purple urine bag syndrome is a rare condition associated with urinary tract infections and not with phenazopyridine hydrochloride use.
Choice B rationale
Phenazopyridine hydrochloride should be taken after meals to minimize stomach upset. Taking it before meals can increase the risk of gastrointestinal discomfort. The medication works as a urinary tract analgesic and does not require administration before meals for effectiveness.
Choice C rationale
Yellowing of the sclera is not an expected effect of phenazopyridine hydrochloride. Yellowing of the sclera, or jaundice, is typically associated with liver dysfunction or hemolysis.
Phenazopyridine hydrochloride does not cause jaundice and any yellowing of the sclera should be promptly evaluated by a healthcare provider.
Choice D rationale
Phenazopyridine hydrochloride works as a urinary tract analgesic. It provides relief from pain, burning, and discomfort caused by irritation of the urinary tract. It is not an antibiotic and does not treat the underlying infection but helps alleviate the symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Monitoring potassium levels is essential when taking thiazide diuretics because these medications can cause hypokalemia (low potassium levels). Regular blood tests help ensure that potassium levels remain within a safe range.
Choice B rationale
Limiting alcohol consumption to 3 drinks a day is not recommended for individuals with hypertension. Excessive alcohol intake can raise blood pressure and negate the benefits of other lifestyle modifications.
Choice C rationale
Setting a goal body weight within 25% of ideal body weight is not an appropriate recommendation. The goal should be to achieve and maintain a healthy weight, which is typically defined as a BMI within the normal range.
Choice D rationale
Lowering sodium intake to 3,000 mg each day is still above the recommended limit. The American Heart Association recommends reducing sodium intake to less than 2,300 mg per day, with an ideal limit of 1,500 mg per day for most adults.
Correct Answer is ["2"]
Explanation
Step 1: Determine the concentration of the available medication. The available concentration is 2 mg/mL.
Step 2: Calculate the volume to be administered. 4 mg ÷ 2 mg/mL = 2 mL The nurse should administer 2 mL.
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