The client has been started on phenytoin. He reports experiencing reddish-colored urine. What is the nurse's highest priority intervention?
A) Report this symptom to the physician; this is an adverse reaction.
B) Instruct the client to stop the medication; this is a life-threatening reaction.
C) Report this symptom to the physician; this indicates toxicity of the medication.
D) Instruct the client that this is an expected side effect of the medication.
Correct Answer:
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