Author Question: A patient is concerned because the urine has changed to red-brown in color since starting a new ... (Read 48 times)

itsmyluck · **on:** Jun 25, 2018

A patient is concerned because the urine has changed to red-brown in color since starting a new medication. Which medication should the nurse suspect is causing this patient's change in urine color?

1. phenytoin (Dilantin)
2. amitriptyline (Elavil)
3. injectable iron
4. phenazopyridine (Pyridium)

Question 2

The nurse is preparing to indirectly percuss a patient's kidneys. In which order should the nurse perform this assessment?

1. Stand behind the patient.
2. Curl the dominant hand into a fist.
3. Assist the patient to a sitting position.
4. Place nondominant hand over the costovertebral angle.
5. Strike the back of the nondominant hand with the dominant hand.

helenmarkerine · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Red-brown urine can occur when taking phenytoin (Dilantin). Amitriptyline (Elavil) can cause the urine to turn green or blue. Injectable iron can cause the urine to turn brown or black. Phenazopyridine (Pyridium) can cause the urine to turn orange.

Answer to Question 2

Correct Answer: 3, 1, 2, 4, 5
The nurse should assist the patient to a sitting position and then stand behind the patient. The dominant hand should be curled into a fist. For indirect percussion the nurse should place the palm of the nondominant hand over the costovertebral angle. Then strike the back of the nondominant hand with your dominant hand.