After teaching a client with bacterial cystitis who is prescribed ...

[LCritchfi]

After teaching a client with bacterial cystitis who is prescribed phenazopyridine (Pyridium), the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
 
  a. I will not take this drug with food or milk.
  b. If I think I am pregnant, I will stop the drug.
  c. An orange color in my urine should not alarm me.
  d. I will drink two glasses of cranberry juice daily.

Question 2

A nurse assesses clients on the medical-surgical unit. Which clients are at risk for kidney problems? (Select all that apply.)
 
  a. A 24-year-old pregnant woman prescribed prenatal vitamins
  b. A 32-year-old bodybuilder taking synthetic creatine supplements
  c. A 56-year-old who is taking metformin for diabetes mellitus
  d. A 68-year-old taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic back pain
  e. A 75-year-old with chronic obstructive pulmonary disease (COPD) who is prescribed an albuterol nebulizer

[Juro]

Answer to Question 1

ANS: C
Phenazopyridine discolors urine, most commonly to a deep reddish orange. Many clients think they have blood in their urine when they see this. In addition, the urine can permanently stain clothing. Phenazopyridine is safe to take if the client is pregnant. There are no dietary restrictions or needs while taking this medication.

Answer to Question 2

ANS: B, C, D
Many medications can affect kidney function. Clients who take synthetic creatine supplements, metformin, and high-dose or long-term NSAIDs are at risk for kidney dysfunction. Prenatal vitamins and albuterol nebulizers do not place these clients at risk.