A patient who has been taking montelukast (Singulair) for 3 months reports having urine the color of coffee. What is the nurse's best response?
a. "You need to increase your intake of water and decrease your intake of coffee."
b. "You need to stop taking this drug and notify your prescriber today."
c. "Don't worry. All patients taking this drug have dark urine."
d. "Do not take this drug any more often than prescribed."
B
Montelukast is a leukotriene inhibitor and can cause liver damage. Dark urine is one sign of liver damage. The patient needs to stop taking the drug and see his or her health care provider to determine whether liver damage is present.
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