A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?
White blood cells (WBC) count of10
Occasional casts
pH of 5.0
Dark amber color
The Correct Answer is A
A. White blood cells (WBC) of 10: A WBC count of 10 is higher than the typical reference range (usually 0–5 WBCs per high-power field). An elevated WBC count suggests infection or inflammation, and this should be reported for further assessment.
B. Occasional casts: Occasional casts in the urine can be normal, especially hyaline casts, which may appear after exercise or mild dehydration. However, a high number of casts, or specific types like red or white cell casts, may indicate renal disease and would require follow-up.
C. pH of 5.0: A urine pH of 5.0 is within the normal acidic range (typically 4.5 to 8.0) and does not require reporting unless there are other abnormal findings or specific concerns about acidosis or alkalosis.
D. Dark amber color. Dark amber urine can indicate dehydration but is not an unusual finding by itself. Hydration can typically correct this, so it does not need immediate reporting unless accompanied by other concerning symptoms (e.g., jaundice, which might suggest bilirubinuria).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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