A client who has been taking pioglitazone (Actos)for 6 months reports to the nurse that his urine has become darker since starting the medication.Which is the nurse's first action?

Question

Quizplus · Accepted Answer

Thiazolidinediones (including pioglitazone)can affect liver function; liver function should be assessed at the start of therapy and at regular intervals while the client continues to take these drugs.Dark urine is one indicator of liver impairment because bilirubin is increased in the blood and is excreted in the urine.The nurse should check the client's most recent liver function studies.Documentation should be done after all assessments have been completed.The client does not need to be told to increase water intake,and the nurse does not need to check the urine for occult blood.

A Client Who Has Been Taking Pioglitazone (Actos)for 6 Months