After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?
The sclera of the eye is yellow while on therapy.
Urine will have a foul smell while taking this medication.
Diarrhea and abdominal cramping are expected adverse effects.
Urine will appear reddish orange.
The Correct Answer is D
A. The sclera of the eye is yellow while on therapy: Yellowing of the sclera is not a common effect of phenazopyridine but may suggest liver dysfunction, which is not associated with this drug.
B. Urine will have a foul smell while taking this medication: Phenazopyridine does not cause urine to have a foul smell. It only changes the color.
C. Diarrhea and abdominal cramping are expected adverse effects: Gastrointestinal side effects are not typically associated with phenazopyridine.
D. Urine will appear reddish orange: Phenazopyridine, a urinary tract analgesic, can cause a reddish-orange discoloration of the urine, which is harmless but may stain clothing or contact lenses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Leaving the nephrostomy site open to air: The nephrostomy site should be covered with a sterile dressing to prevent infection.
B. Instilling no more than 50 mL of sterile water if sterile irrigations are ordered: Irrigation should be done with care, and no more than 5-10 mL of sterile solution is typically instilled to avoid kidney damage.
C. Clamping every 2 hours to allow expansion of the kidney pelvis: Clamping the nephrostomy tube is contraindicated as it can lead to increased pressure in the kidney, worsening the obstruction and potentially causing damage.
D. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains: Ensuring the tube remains patent and continuously drains is essential to avoid complications such as hydronephrosis or infection.
Correct Answer is A
Explanation
A. Document normal findings: Pink-tinged urine is expected after a cystoscopy due to minor trauma to the urethra or bladder during the procedure.
B. Contact the Rapid Response Team: Pink-tinged urine does not indicate a medical emergency requiring the Rapid Response Team.
C. Promptly notify the healthcare provider: This finding does not require immediate notification unless accompanied by significant bleeding, clots, or other abnormal symptoms.
D. Restrict fluids: Increasing fluid intake helps flush the urinary tract and reduce irritation after a cystoscopy.
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