Difficulty: Medium
Average Score: 74%
Simulated
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?
Correct answer
D
Rationale
Correct Answer: D
Rationale: Phenazopyridine is a commonly used over-the-counter medication for urinary tract infections. One of its common side effects is turning urine orange-red in color. Therefore, it is important for the nurse to educate the client about this known side effect. This response reassures the client that their symptoms are likely due to the medication and not a more serious issue. It also empowers the client to understand the cause of the color change in their urine and reduces their anxiety.
Summary of Other Choices:
A: This response is incorrect as it is alarmist and not based on evidence or the client's symptoms. There is no indication in the scenario that the client's liver is failing.
B: This response is incorrect as it does not address the specific situation of the client's urinary tract infection and the color change in urine.
C: This response is incorrect as it assumes the worst-case scenario without considering other potential causes for the color change in urine.
Rationale: Phenazopyridine is a commonly used over-the-counter medication for urinary tract infections. One of its common side effects is turning urine orange-red in color. Therefore, it is important for the nurse to educate the client about this known side effect. This response reassures the client that their symptoms are likely due to the medication and not a more serious issue. It also empowers the client to understand the cause of the color change in their urine and reduces their anxiety.
Summary of Other Choices:
A: This response is incorrect as it is alarmist and not based on evidence or the client's symptoms. There is no indication in the scenario that the client's liver is failing.
B: This response is incorrect as it does not address the specific situation of the client's urinary tract infection and the color change in urine.
C: This response is incorrect as it assumes the worst-case scenario without considering other potential causes for the color change in urine.