RENAL & URINARY DRUGS

The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a urinary tract infection. The nurse would make which appropriate response?

"Continue taking the medication; the brown urine occurs and is not harmful."

The nurse, who is administering bethanechol chloride, is monitoring for cholinergic overdose associated with the medication. The nurse would check the client for which sign of overdose?

Bradycardia

A client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client would be questioned about the use of which medication?

Decongestants

The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction would be included in the list?

Drink 8 to 10 glasses of water per day.

The nurse is reviewing the laboratory results for a client receiving tacrolimus. Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication?

Fasting blood glucose of 200 mg/dL (11.1 mmol/L)

The nurse is providing dietary instructions to a client who has been prescribed cyclosporine. Which food item would the nurse instruct the client to exclude from the diet?

Grapefruit juice

A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication?

Hematocrit of 33% (0.33)

A client with a urinary tract infection is receiving cipro?oxacin by the intravenous (IV) route. The nurse appropriately administers the medication by performing which action?

Infusing slowly over 60 minutes

Oxybutynin chloride is prescribed for a client with urge incontinence. Which sign would indicate a possible toxic effect related to this medication?

Restlessness

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse would instruct the client to report which symptom if it develops during the course of this medication therapy?

Sore throat

Tacrolimus is prescribed for a client who underwent a kidney transplant. Which instruction should the nurse include when teaching the client about this medication?

Take the oral medication every 12 hours at the same times every day.

Nitrofurantoin is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and dif?culty breathing. The nurse would make which interpretation about the client's complaints?

The client is experiencing a pulmonary reaction requiring cessation of the medication.

Phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates that the medication is effective based on which observation?

Urination is not painful.

Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication?

blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)

Bethanechol chloride is prescribed for a client with urinary retention. The nurse would contact the prescriber if which disorder, a contraindication to the medication, was documented in the client's record?

urinary strictures