A patient with renal impairment who has been taking nitrofurantoin (Macrodantin) for a urinary tract infection telephones a nurse and describes the recent onset of "numbness and tingling" in the fingers and toes
The nurse should instruct the patient to a. discontinue the drug and come in for further evaluation.
b. continue the drug and keep the hands and feet elevated when possible.
c. check the color of the extremities and a pulse every 4 hours.
d. collect a urine sample and bring it to the clinic.
A
The nurse should instruct the patient to discontinue the medication and come in for further eval-uation, because damage to sensory and motor nerves is a serious concern. Early symptoms in-clude muscle weakness, tingling sensations, and numbness.
The symptoms identified could indicate and adverse reaction, thus the patient should not contin-ue to take the drug.
Checking the color of the extremities is not indicated and would not alleviate the symptoms.
There are no indications from the information provided that the collection of a urine sample is necessary.
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