A patient calls the office to tell you that his or her urine has changed to an orange color.The best response of the nurse is which of the following?

A) "Did you recently start a new prescription for Pyridium?"
B) "Did you recently drink a lot of cranberry juice?"
C) "Have you noticed any blood on the tissue when you wipe yourself?"
D) "Please make an appointment with the office right away."

Various medications and foods change the color of urine.For example,patients taking phenazopyridine,a urinary analgesic,void urine that is bright orange.Eating beets,rhubarb,and blackberries causes red urine.The kidneys excrete special dyes used in IV diagnostic studies,which discolor the urine.Patients with liver disease who have high concentrations of bilirubin (urobilinogen)often have dark amber urine.Report unexpected color changes to the health care provider.