A patient calls the office to tell you that his or her urine has changed orange in color. The best response of the nurse is which of the following?
Did you recently drink a lot of cranberry juice?
Did you recently start taking any new medication?
Please make an appointment with the office right away.
Have you noticed any blood on the tissue when you wipe yourself?
The Correct Answer is B
Choice A reason: Cranberry juice typically causes pink or reddish urine, not orange. Orange urine is more commonly linked to medications, dehydration, or liver issues. Asking about cranberry juice is less relevant, as it does not directly address the most likely causes of orange discoloration.
Choice B reason: Medications like rifampin, phenazopyridine, or certain vitamins (e.g., B vitamins) can cause orange urine due to their pigments or metabolites excreted renally. Inquiring about new medications is a targeted approach to identify a common, benign cause before escalating to invasive diagnostics.
Choice C reason: Immediately scheduling an appointment assumes a serious condition without exploring benign causes like medications or dehydration. This response may cause unnecessary alarm and overlooks a systematic assessment, which could resolve the issue through history-taking alone.
Choice D reason: Blood in urine (hematuria) typically causes red or brown discoloration, not orange. Asking about blood is less relevant to orange urine and may confuse the patient, as it does not align with the reported symptom’s likely etiology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A recent hysterectomy typically does not require a suprapubic catheter unless complications like bladder injury occur. Urethral catheters are standard for postoperative urinary management, as the urethra is usually unaffected, making suprapubic catheters unnecessary for routine hysterectomy recovery.
Choice B reason: Menopause does not necessitate a suprapubic catheter. It may cause urinary symptoms like incontinence due to hormonal changes affecting pelvic floor muscles, but these are managed with behavioral or pharmacological interventions, not catheterization, which is irrelevant to menopausal physiology.
Choice C reason: A urethral stricture, narrowing the urethra due to scar tissue, obstructs urine flow, making urethral catheterization difficult or impossible. A suprapubic catheter bypasses the urethra, draining urine directly from the bladder, ensuring effective bladder management and preventing complications like retention or infection.
Choice D reason: An appendectomy does not typically require a suprapubic catheter. Postoperative urinary management, if needed, uses urethral catheters, as appendectomy does not affect urethral patency. Suprapubic catheters are reserved for conditions obstructing urethral access, which appendectomy does not cause.
Correct Answer is C
Explanation
Choice A reason: Limiting activity can worsen constipation by reducing bowel motility. Physical activity stimulates peristalsis via abdominal muscle movement and increased blood flow, so advising reduced activity is counterproductive and not recommended for managing constipation.
Choice B reason: While hydration is important, four to five glasses of water daily may be insufficient for older adults, who often need 6-8 glasses (1.5-2 liters) to soften stool and promote bowel movements. This instruction is suboptimal compared to dietary fiber.
Choice C reason: Raw vegetables are high in insoluble fiber, which adds bulk to stool and stimulates peristalsis, easing constipation. This dietary change directly addresses the issue by promoting regular bowel movements, making it a key teaching point for older adults.
Choice D reason: Bearing down hard (Valsalva maneuver) can strain pelvic muscles and increase risks like hemorrhoids or cardiovascular stress, especially in older adults. Gentle defecation with proper positioning is safer, making this instruction inappropriate.
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