A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?
Urine specific gravity 1.020
Amber yellow urine color
Absence of glucose in the urine
Microscopic hematuria
The Correct Answer is D
A. A specific gravity within the normal range indicates adequate urine concentration and hydration status, which is not typically concerning.
B. This color is indicative of normal urine concentration and hydration status and is not necessarily indicative of urinary tract pathology.
C. Absence of glucose in the urine is a normal finding and does not typically warrant further investigation.
D. Microscopic hematuria (blood in the urine not visible to the naked eye) may indicate underlying urinary tract pathology, such as infection, inflammation, or kidney stones, and should be reported to the provider for further evaluation and management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. The primary function of the kidneys is to filter blood and eliminate waste products as urine.
B. Vitamin B12 activation primarily occurs in the liver, not the kidneys.
C. The kidneys help regulate the body's acid-base balance by excreting or conserving bicarbonate ions and hydrogen ions.
D. The kidneys produce erythropoietin, a hormone that stimulates the production of red blood cells in the bone marrow.
E. The kidneys play a key role in regulating blood pressure by adjusting the volume of blood and the balance of electrolytes in the body. They also produce hormones such as renin, which helps regulate blood pressure.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
The nurse should prioritize the client's immediate clinical needs based on the assessment data provided.
The first action should be to address the client's agitation, which is a sign of distress and can lead to safety issues. Therefore, the nurse should first address the client's "fall precautions" to ensure safety and prevent potential harm due to the client's disorientation and agitation.
Following this, the nurse should address the client's "urine collection" for urinalysis and culture and sensitivity (C&S), as it is critical to identify the cause of the client's febrile state and incontinence of foul-smelling urine, which could indicate an infection. This will allow for appropriate antibiotic therapy to be administered based on the sensitivity results.
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