The client who has been taking the oral antidiabetic agent pioglitazone (Actos) for 6 months reports to the nurse that his urine is darker than it used to be. What is the nurse's best action?
A. Notify the physician.
B. Document the report as the only action.
C. Instruct the client to increase his water intake.
D. Test a sample of urine for the presence of occult blood.
A
The "glitazone" drugs, including pioglitazone, have been reported to affect liver function, and there have been some cases of liver failure. Dark urine is one indicator of liver impairment be-cause bilirubin increases in the blood and is excreted in the urine.
You might also like to view...
The home care nurse is conducting patient teaching with a patient beginning corticosteroid therapy
To achieve consistency with the body's natural secretion of cortisol, when would the home care nurse instruct the patient to take her corticosteroid medication? A) In the evening between 4 PM and 6 PM B) Prior to going to sleep at night C) At noon every day D) In the early morning between 7 AM and 8 AM
Stretching and exercises that increase flexibility are important for
a. maintaining cardiovascular fitness. b. increasing muscular strength. c. moving muscles to their full extent with-out injury. d. building endurance for longer bouts of exercise.
A 32-year-old pregnant patient with Bell's palsy refuses to eat while others are present because of embarrassment about drooling. The best response by the nurse is to
a. respect the patient's feelings and arrange for privacy at mealtimes. b. teach the patient to chew food on the unaffected side of the mouth. c. offer the patient liquid nutritional supplements at frequent intervals. d. discuss the patient's concerns with visitors who arrive at mealtimes.
The term health can be described in many different ways. A community health nurse would view health as which of the following?
A) The absence of disease B) The potential to lead a productive life C) An environment free of toxins D) A holistic state of well-being