A nurse is emptying a client’s urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?
Urinary tract infection.
Dehydration.
Kidney stones.
Liver disease.
The Correct Answer is A
Choice A rationale
A urinary tract infection (UTI) is a common cause of dark amber, cloudy urine with an unpleasant odor. UTIs are caused by bacteria that infect the urinary tract, leading to inflammation and the presence of pus or white blood cells in the urine. This can result in cloudy urine with a strong odor. Prompt treatment with antibiotics is necessary to resolve the infection and prevent complications.
Choice B rationale
Dehydration can cause dark amber urine, but it does not typically cause cloudiness or an unpleasant odor. Dehydration leads to concentrated urine, which appears darker in color. However, the presence of cloudiness and odor suggests an infection rather than dehydration.
Choice C rationale
Kidney stones can cause dark urine if there is bleeding, but they do not typically cause cloudiness or an unpleasant odor. The passage of a kidney stone can lead to hematuria (blood in the urine), which may darken the urine. However, the symptoms described are more indicative of a urinary tract infection.
Choice D rationale
Liver disease can cause dark urine due to the presence of bilirubin, but it does not typically cause cloudiness or an unpleasant odor. Dark urine in liver disease is usually accompanied by other symptoms such as jaundice, pale stools, and fatigue. The combination of dark, cloudy urine with an unpleasant odor is more suggestive of a urinary tract infection. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While alcohol consumption should generally be limited for individuals with gout, white wine is not necessarily better than red wine. Both types of wine contain purines, which can increase uric acid levels and trigger gout attacks. Therefore, the statement “I’ll drink white wine, not red” is not a correct indication of understanding a low-purine diet.
Choice B rationale
Fruits are generally low in purines and are recommended as part of a healthy diet for managing gout. Limiting fruit servings is not necessary and does not align with the principles of a low-purine diet. Therefore, the statement “I’ll limit the number of fruit servings I eat each day” is incorrect.
Choice C rationale
Red meat is high in purines and should be limited or avoided in a low-purine diet. Choosing red meat over poultry is not advisable for managing gout. Therefore, the statement “I’ll choose red meat instead of poultry” is incorrect.
Choice D rationale
Organ meats, such as liver, are very high in purines and should be eliminated from the diet to manage gout effectively. The statement “I’ll eliminate liver from my diet” correctly indicates an understanding of a low-purine diet.
Correct Answer is A
Explanation
Choice A rationale
Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. Therefore, it is recommended to wear glasses instead of contacts while taking this medication.
Choice B rationale
A yellow tint to the skin is not an expected reaction to rifampin. This could indicate jaundice, a sign of liver dysfunction, which requires immediate medical attention.
Choice C rationale
Lifelong treatment with rifampin is not necessary. The typical duration of treatment for active tuberculosis is 6 to 9 months.
Choice D rationale
Rifampin does not cause amenorrhea when taken with oral contraceptives. However, it can reduce the effectiveness of oral contraceptives, so additional contraceptive methods should be used.
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