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 C
Explanation
Choice A rationale
An indurated area of 4 millimeters is not considered a positive result for tuberculin skin testing. The size of induration considered positive varies based on the individual’s risk factors and health status.
Choice B rationale
The injection site for a tuberculin skin test should be evaluated between 48 and 72 hours after administration, not within 24 hours. Evaluating it too early may not provide accurate results.
Choice C rationale
A positive result in a tuberculin skin test indicates that the person has been infected with TB bacteria, but it does not necessarily mean they have active TB disease. Further tests are needed to determine if the disease is active.
Choice D rationale
A previous negative result does not preclude the administration of a new tuberculin skin test. Individuals can be retested if there is a new risk of exposure or if it is required for medical or occupational reasons.
Correct Answer is B
Explanation
Choice A rationale
Increased urine ketones are more commonly associated with diabetic ketoacidosis (DKA) rather than fluid volume deficit. DKA involves the breakdown of fat for energy, leading to ketone production.
Choice B rationale
Increased urine specific gravity is an expected finding in fluid volume deficit. It indicates concentrated urine due to decreased fluid intake or excessive fluid loss.
Choice C rationale
Decreased hematocrit is not typically associated with fluid volume deficit. In fact, hematocrit levels may be elevated due to hemoconcentration when there is a significant loss of fluid.
Choice D rationale
Decreased urine output is a common sign of fluid volume deficit. The body conserves water by reducing urine production to maintain fluid balance.
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