Nokea
A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?
- A. Drinking more fluid will prevent your urine from becoming brown.
- B. Brown-colored urine is a harmless side effect of the medication.
- C. The provider will change your medication because your infection is not resolving with nitrofurantoin.
- D. An increase of RBC destruction in your blood can result in brown-colored urine.
Correct Answer: B
Rationale: Brown-colored urine is a harmless side effect of nitrofurantoin due to the medication itself, not indicating harm.
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A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. (Use a leading zero if it applies. Do not use a trailing zero))
Correct Answer: 2 mL
Rationale: 4 mg ÷ 2 mg/mL = 2 mL. The nurse should administer 2 mL.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
- A. Determine the patency of the tubing.
- B. Notify the provider.
- C. Administer a prescribed analgesic.
- D. Offer oral fluids.
Correct Answer: A
Rationale: Determining tubing patency is the first action to check for blockages, preventing complications like bladder distention.
A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
- A. Orange juice.
- B. White rice.
- C. Corn flakes cereal.
- D. Watermelon.
- E. Bananas.
Correct Answer: A,D,E
Rationale: Orange juice, watermelon, and bananas are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?
- A. Provide the client with a low protein diet.
- B. Instruct the client to cough every 4 hr.
- C. Advise the client to lie down after eating.
- D. Encourage the client to drink 8 glasses of water a day.
Correct Answer: D
Rationale: Encouraging 8 glasses of water daily helps thin mucus secretions, improving airway clearance and reducing infection risk in COPD clients.
Phenazopyridine hydrochloride turns the urine which color?
- A. Purple.
- B. Orange.
- C. Blue.
- D. Green.
Correct Answer: B
Rationale: Phenazopyridine hydrochloride turns the urine orange, a common and harmless side effect due to its dye properties.