74. A client, who is newly diagnosed with tuberculosis, is being seen in a clinic. Current treatment includes isoniazid (INH) and rifampin (Rifadia). During the assessment, the client states that there has been blood in the urine since starting treatment. The best response by a nurse would be:
. "One of your medications changes the color of body fluids."
. "This is expected. There is nothing to worry about."
. "I will send a urine specimen to the lab for analysis."
. "Have you had any pain on urination or more frequent urination?"
Test-Taking Tip
Eliminate the trite reassurance response (Answer 2), and the other two answers that relate to possible problems (Answers 3 and 4). Select the answer about an expected effect.
Content Area: Adult Health, Infectious Disease; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is correct because rifampin changes tears, sweat, saliva, and urine to an orange-red color. This is an expected effect. Answer 2 is incorrect because this response does not explain the cause or address the client's worry. Answer 3 is incorrect because this color change is normal. Answer 4 is incorrect because this change does not indicate a urinary tract infection.