A client is admitted to the unit from surgery for insertion of pins for traction due to a compound fracture to the left femur
The client has a Foley catheter for gravity drainage. Chlorzoxazone (Parafon Forte) is ordered for the client. The next day, it is noted that the urine has a reddish-orange discoloration. How should the nurse respond to this development?
1. Call the health care provider for an order for a urinalysis.
2. Check the urine for bacteria with a urine chemstick.
3. Continue to monitor I & O.
4. Notify the health care provider about the discoloration in the urine.
Correct Answer: 3
Rationale 1: Red-orange urine is an adverse effect of chlorzoxazone but does not in itself warrant a urinalysis.
Rationale 2: Red-orange urine is an adverse effect of chlorzoxazone but does not in itself warrant a dipstick for bacteria.
Rationale 3: Red-orange urine is an adverse effect of chlorzoxazone, so the nurse should continue to monitor I & O.
Rationale 4: Red-orange urine is an expected adverse effect of chlorzoxazone. It is not necessary to notify the health care provider.
Global Rationale: Red-orange urine is an adverse effect of chlorzoxazone, so the nurse should continue to monitor I & O. Red-orange urine is an adverse effect of chlorzoxazone but does not in itself warrant a urinalysis, a urine dipstick for bacteria, or a notifying the health care provider.
You might also like to view...
An adult patient is administered hydroxyzine for nausea. What adverse effect is most likely with this medication?
A) Thrombocytopenia B) Palpitations C) Hypertonic muscle tone D) Dry mouth
The nurse is reviewing a client's history and notes that the client is taking large doses of vitamin supplementation. The nurse is concerned because:(Select all that apply) Standard Text: Select all that apply
1. Some vitamins are required in daily amounts less than 100 mg 2. Fat soluble vitamins can be stored, and therefor there is a danger of toxicity 3. Fat soluble vitamins may require extra supplementation because they cannot be stored in the body from day to day 4. Water soluble vitamins can cause toxicity 5. Microminerals are needed in amounts under 100 mg
The nurse is providing care to a client who is being admitted to rule out acute pancreatitis. Which item found in the client's history increases the client's risk for this disease process?
A) Systemic lupus B) Alcoholism C) Cystic fibrosis D) Hypertriglyceridemia
The postpartum nurse is planning discharge teaching for the postpartum mother, who has two other children at home. What is the best way to provide instruction to this patient?
1. Provide all information while discharging the patient. 2. Provide written discharge material only. 3. No teaching is required, as this is not the patient's first postpartum experience. 4. Deliver information a little at a time and repeat it until discharge.