Pharmacology Urinary & Renal Meds #1

Question

A client visits the clinic with symptoms of cystitis and receives a prescription for phenazopyridine hydrochloride. After providing instructions on the medication, the nurse determines the client requires more teaching because of which statement?

Answers

  1. "I am so glad I have the medication that kills all bacteria, making my pain better."
    • Rationale:

      This answer is correct because the client needs more teaching regarding phenazopyridine hydrochloride since the client incorrectly thinks the medication kills bacteria, making the pain better. Phenazopyridine hydrochloride is a urinary analgesic that relieves dysuria often associated with cystitis and urinary tract infections. It may be used with other antibacterial therapy but is not an antibiotic.

  2. "I will drink fluids and add cranberry juice daily."
    • Rationale:

      This answer is not correct because the client understands properly about phenazopyridine hydrochloride. The client with cystitis or urinary tract infection should understand that while taking phenazopyridine hydrochloride, the client should increase fluids and cranberry juice intake.

  3. "I will take warm tub or sitz baths to help relieve urgency, discomfort, and spasm."
    • Rationale:

      This answer is not correct because the client understands correctly that warm tub baths help relieve urgency, discomfort, and spasms. Phenazopyridine hydrochloride is also used for comfort since it is a urinary analgesic that relieves dysuria often associated with cystitis and urinary tract infections.

  4. "I know that my urine may turn bright orange-red and may stain my underwear."
    • Rationale:

      This answer is not correct because the client understands about this unique side effect of phenazopyridine hydrochloride to cause body fluids (urine, tears) to turn an orange-red. The client should know to not be alarmed when observing this while taking phenazopyridine hydrochloride. The medication can stain underwear and contact lenses.

Overview

Phenazopyridine hydrochloride is a urinary analgesic that relieves dysuria. It is not an antibiotic.

Explanation

Phenazopyridine hydrochloride (Pyridium) is a urinary analgesic that works on the bladder mucosa to relieve complains of dysuria. It may be used with other antibacterial therapy. Pyridium is an azo dye and is excreted in the urine. The client should drink plenty of fluids and cranberry juice is beneficial to maintain acid pH. Warm sitz or tub baths also help relieve discomfort. The client may have bright orange-red urine that may stain underwear.

Learning Outcomes

Phenazopyridine hydrochloride is a urinary analgesic that relieves dysuria often associated with cystitis and urinary tract infections. It may be used with other antibacterial therapy but is not an antibiotic. The client with cystitis or urinary tract infection should be educated regarding phenazopyridine hydrochloride, including the need to increase fluids and cranberry juice intake. The nurse can suggest taking warm tub baths to help relieve urgency, discomfort, and spasms. A side effect the client should be aware of is that body fluids (urine, tears) turn an orange-red, so the client should not be alarmed when observing this while taking phenazopyridine hydrochloride.

Test Taking Tip

Unusual side effects should be remembered and taught clients because NCLEX wants to be sure you educate the client so they will understand and not be alarmed, or in some instances, know when to report to the health care provider.

Video Rationale