Questions: A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the medication? Constipation Dark brown urine Cough Tremors

The answer is: Cough.

Explanation for each option:

• Constipation: This is not a common adverse effect of nitrofurantoin. While gastrointestinal issues can occur, constipation is not typically associated with this medication.

• Dark brown urine: Nitrofurantoin can cause the urine to turn a dark yellow or brown color, which is a harmless side effect and not something that typically needs to be reported.

• Cough: This is a significant adverse effect that should be reported. Nitrofurantoin can cause pulmonary reactions, including cough, which may indicate a more serious condition such as pulmonary fibrosis or acute pneumonitis.

• Tremors: While neurological side effects can occur with nitrofurantoin, tremors are not commonly reported and are not a primary concern compared to respiratory issues.

In summary, the nurse should instruct the client to report a cough, as it could indicate a serious adverse reaction to nitrofurantoin.