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 ["1.5"]
Explanation
Step 1 is: 15 mg ÷ 10 mg/mL = 1.5 mL The nurse should administer 1.5 mL of morphine.
Correct Answer is C
Explanation
Choice A rationale
Cheyne-Stokes breathing is characterized by a pattern of periodic breathing with cycles of increasing and decreasing tidal volumes separated by periods of apnea. It is not typically associated with diabetic ketoacidosis (DKA) but rather with conditions such as heart failure, stroke, or brain injury.
Choice B rationale
Malignant hypertension is a severe form of high blood pressure that can lead to organ damage. It is not a typical finding in diabetic ketoacidosis. DKA is more commonly associated with dehydration, electrolyte imbalances, and metabolic acidosis.
Choice C rationale
An acetone odor to the breath is a classic sign of diabetic ketoacidosis. This occurs due to the accumulation of ketones in the blood, which are byproducts of fat metabolism when the body is unable to use glucose for energy.
Choice D rationale
Blood glucose levels below 40 mg/dL indicate hypoglycemia, not diabetic ketoacidosis. DKA is characterized by high blood glucose levels, typically above 250 mg/dL34.
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