The nurse is providing health teaching to a patient who is taking methenamine (Hiprex). What instruction would be most important to include for the patient taking Hiprex?
A) "Drink citrus juice with the medication to acidify the urine."
B) "Take sodium bicarbonate with the medication to make the urine alkaline."
C) "Limit your fluid intake to 8 ounce per day."
D) "While you are taking this drug, limit your intake of foods high in sodium."
A
Feedback:
Urinary tract anti-infectives act specifically within the urinary tract to destroy bacteria, either through a direct antibiotic effect or through acidification of the urine. Therefore, the nurse would not instruct the patient to take sodium bicarbonate, limit fluid intake, or limit their intake of foods high in sodium.
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