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 A
Explanation
Choice A rationale
The stoma for a sigmoid colostomy is typically located in the lower left abdomen. This is because the sigmoid colon is a part of the large intestine that is located in the lower left quadrant of the abdomen.
Choice B rationale
A stoma should appear pink or red and moist. A purple stoma could indicate a lack of blood supply, which is a medical emergency.
Choice C rationale
A sigmoid colostomy will produce formed stool because the sigmoid colon is the last part of the colon, where water is absorbed and stool is formed.
Choice D rationale
The end of the stoma (the part that sticks out from the abdomen) should not be painful after the procedure. If a patient experiences pain, it could indicate a complication such as a blockage or infection.
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.
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