A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?
Bright orange
Dark-amber
Pale yellow
Red
The Correct Answer is B
A. Bright orange urine could be caused by certain medications, such as rifampicin and phenazopyridine or food dyes, such as those containing carotene.
B. This is because the obstruction of the bile duct leads to an accumulation of bilirubin in the blood, which is then excreted in the urine, giving it a darker color.
C. Pale yellow urine is indicative of normal urine coloration and is not specific to bile duct obstruction.
D. Red urine could indicate the presence of blood, which might suggest other conditions such as urinary tract infections or kidney stones, but not typically bile duct obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Straining urine is important to catch any stones that are passed, which can then be analyzed to determine their composition and inform future treatment and prevention strategies.
B. While cold therapy may provide some relief from discomfort associated with kidney stones, it is not the primary intervention for managing kidney stones.
C. Bedrest is generally not recommended for patients with kidney stones. Remaining active may help promote passage of the stone.
D. Adequate fluid intake is essential for preventing kidney stone formation and facilitating stone passage. Restricting fluids can exacerbate the problem by leading to concentrated urine and increased risk of stone formation.
Correct Answer is C
Explanation
A. Daily weight monitoring is important for assessing fluid status but may not provide real-time information about fluid balance changes.
B. Vital signs are important for overall assessment but may not specifically address the nursing diagnosis of Excess Fluid Volume unless there are significant changes indicative of fluid overload or dehydration.
C. Monitoring intake and output provides direct information about fluid balance and renal function, helping to identify trends and assess the effectiveness of interventions aimed at managing fluid volume.
D. Skin turgor assessment is useful for evaluating hydration status but may not provide comprehensive data on fluid volume excess alone.
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