A nurse is reviewing urinary laboratory results. Which findings should prompt the nurse to follow up?
Specific gravity of 1.036.
pH of 6.4.
Presence of proteinuria.
Presence of hematuria.
Correct Answer : A,C
Choice A rationale
A specific gravity of 1.036 is higher than the normal range of 1.005 to 1.030345. This could indicate dehydration or other conditions that cause the urine to be more concentrated. This finding should prompt the nurse to follow up.
Choice B rationale
A pH of 6.4 is within the normal range for urine, which is typically between 4.6 and 8.03. Therefore, this finding would not necessarily require follow-up.
Choice C rationale
The presence of proteinuria (protein in the urine) is abnormal and could indicate kidney disease or other serious health conditions. This finding should prompt the nurse to follow up.
Choice D rationale
The presence of hematuria (blood in the urine) can be a sign of several conditions, including urinary tract infections, kidney stones, or bladder infections. However, without more information, it’s not clear whether this finding alone should prompt the nurse to follow up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.6"]
Explanation
Step 1: Convert the toddler’s weight from pounds to kilograms. 1 kg is approximately 2.2 lb. So, 33 lb ÷ 2.2 = 15 kg.
Step 2: Calculate the total daily dose of amoxicillin. The prescribed dose is 30 mg/kg/day. So, 30 mg/kg/day × 15 kg = 450 mg/day.
Step 3: Since the dose is divided into 2 equal doses every 12 hours, each dose will be half of the total daily dose. So, 450 mg/day ÷ 2 = 225 mg/dose.
Step 4: Calculate the volume of the suspension to administer per dose. The available suspension is 200 mg/5 mL. So, (225 mg/dose ÷ 200 mg) × 5 mL = 5.625 mL/dose. Therefore, the nurse should administer approximately 5.6 mL of the amoxicillin suspension per dose.
Correct Answer is D
Explanation
Choice A rationale
Discarding the dressing in the bedside trash receptacle is not recommended because it can lead to the spread of infection. The dressing is contaminated with blood and purulent drainage, which are considered biohazardous waste.
Choice B rationale
Double-bagging the dressing in clear bags and labeling it “biohazard” is not sufficient. While it’s important to label biohazardous waste, the dressing should be disposed of in a designated biohazardous waste container.
Choice C rationale
Enclosing the dressing in a single clear plastic bag and discarding it in the bedside trash receptacle is also not recommended. This method does not provide adequate containment for biohazardous waste.
Choice D rationale
Disposing of the dressing in a biohazardous waste container is the correct method. This ensures that the biohazardous waste is properly contained and reduces the risk of spreading infection.
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