The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)
Trace glucose
Straw color
Foul odor
pH of 8.2
Specific gravity of 1.014
Correct Answer : C,D
A. Trace glucose: Trace glucose in the urine is not typically associated with infections; it may indicate diabetes or impaired glucose tolerance.
B. Straw color: Straw-colored urine is normal and does not indicate infection.
C. Foul odor: A foul odor in urine can be indicative of infection due to bacterial activity.
D. pH of 8.2: Alkaline urine (pH > 8.0) may indicate infection because some bacteria produce urease, which increases urine pH.
E. Specific gravity of 1.014: This is within the normal range and does not indicate infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blood volume decreases: While fluid imbalances are common in renal failure, the oliguric stage is marked by fluid retention, not decreased blood volume.
B. Blood urea nitrogen (BUN) level rises: The oliguric stage is characterized by reduced urine output, leading to waste product accumulation, including elevated BUN levels.
C. Urine osmolality increases: In renal failure, urine osmolality may remain low or not reflect changes due to impaired kidney function.
D. Serum calcium increases: Serum calcium often decreases in renal failure due to disturbances in vitamin D metabolism and phosphate retention.
Correct Answer is D
Explanation
A. Level of fluid intake: While monitoring fluid intake is important, bowel sounds are more critical immediately after surgery to detect potential paralytic ileus or other complications.
B. Keep the bed flat: Postoperative positioning depends on the type of surgery and is not universally necessary.
C. Position on the left side: There is no specific need to position the patient on the left side postoperatively unless otherwise indicated.
D. Bowel sounds: Assessing bowel sounds is crucial to monitor for postoperative complications such as ileus.
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