A patient who had surgery 6 days earlier has developed a urinary tract infection, for which the prescriber has ordered nitrofurantoin (Macrodantin). The nurse is providing patient education about the medication
What should the nurse include in the teaching? (Select all that apply.)
a. "We will need to monitor your creatinine clearance levels."
b. "It would be best to take your meds on an empty stomach."
c. "Your urine may have a brown tint."
d. "You may experience constipation."
e. "You may experience a headache."
ANS: A, C, E
Creatinine clearance levels should be monitored, because if the levels are too low, toxicity may occur. Nitrofurantoin imparts a harmless brown color to the urine, and it can cause multiple neurologic effects, such as headache, vertigo, and drowsiness.
Nitrofurantoin should be taken with meals to minimize gastrointestinal (GI) upset (nausea, vomiting and diarrhea).
The patient will experience diarrhea, not constipation.
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