. The nurse is caring for a client who appears anxious and fearful. The client has recently been seen for a urinary tract infection and reports their urine has turned an orange-red color. What is the best response by the nurse?

"This may mean that your liver is failing and you need immediate medical attention."

"This is an expected finding for someone with a diet high in red meat.”

“This is a symptom that your urinary tract infection is worsening. I will notify the provider.”

“This is an expected finding if you are taking the over the counter medication, Phenazopyridine.”

Answer and Explanation

The Correct Answer is D

A. "This may mean that your liver is failing and you need immediate medical attention." This statement is misleading; orange-red urine is not typically a sign of liver failure, especially in the context of a urinary tract infection.

B. "This is an expected finding for someone with a diet high in red meat." While diet can affect urine color, red meat is not commonly associated with orange-red urine; this is not a relevant response given the client's context.

C. “This is a symptom that your urinary tract infection is worsening. I will notify the provider.” While it is important to monitor urinary tract infections, orange-red urine is more likely related to the use of phenazopyridine rather than a worsening infection.

D. “This is an expected finding if you are taking the over-the-counter medication, Phenazopyridine.” Phenazopyridine is known to cause orange-red discoloration of urine, and this statement provides reassurance to the client regarding their symptoms.

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Correct Answer is B

Explanation

A. Danazol: Danazol is primarily used for conditions like endometriosis and is not indicated for BPH treatment.

B. Finasteride: Finasteride is a 5-alpha-reductase inhibitor that reduces the size of the prostate and is commonly prescribed for managing symptoms of BPH.

C. Fluoxymesterone: Fluoxymesterone is an anabolic steroid and is not used for treating BPH.

D. Methyltestosterone: Methyltestosterone is also an anabolic steroid and does not address the symptoms of BPH.

A. BUN 45 mg/dL and creatinine 8 mg/dL B. BUN 8 mg/dL and creatinine 0.7 mg/dL C. BUN 10 mg/dL and creatinine 0.3 mg/dl D. BUN 23 mg/dL and creatinine 1.0 mg/dL

Correct Answer is A

Explanation

A. BUN 45 mg/dL and creatinine 8 mg/dL: These levels indicate significant kidney impairment; elevated BUN and creatinine levels are typical in chronic kidney disease.

B. BUN 8 mg/dL and creatinine 0.7 mg/dL: These values are within normal limits and suggest good kidney function, not indicative of chronic kidney disease.

C. BUN 10 mg/dL and creatinine 0.3 mg/dL: These values are much lower than expected in chronic kidney disease, indicating normal renal function.

D. BUN 23 mg/dL and creatinine 1.0 mg/dL: While these levels show mild elevation, they do not reflect the more severe impairment typically seen in chronic kidney disease.

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. The nurse is caring for a client who appears anxious and fearful. The client has recently been seen for a urinary tract infection and reports their urine has turned an orange-red color. What is the best response by the nurse?

Nursing Test Bank

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