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).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is C
Explanation
A.Physical therapist: They primarily focus on physical rehabilitation, exercises, and mobility issues. While they play a critical role in rehabilitation post-surgery or in managing physical limitations, their role in directly addressing psychosocial aspects might be more indirect.
B.Psychiatrist: Psychiatrists specialize in diagnosing and treating mental health conditions. While they are crucial in managing mental health concerns, their role might be more focused on diagnosing and managing specific psychiatric conditions rather than addressing the broad psychosocial impact of BPH.
C.Social worker. A social worker plays a crucial role in addressing the psychosocial impact of chronic conditions like BPH. They assist in addressing emotional concerns, providing support, connecting clients with community resources, addressing financial concerns, and facilitating coping strategies. They can help the client and their family navigate the emotional and social challenges that arise due to the condition. Therefore, involving a social worker in the client's plan of care is crucial to address the psychosocial aspects related to BPH.
D.Occupational therapist: Occupational therapists focus on helping patients develop, recover, or maintain daily living and work skills. They may assist with practical aspects of daily life but may not primarily address the psychosocial impact of BPH.
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