Your aunt told you that she is happy that her kidneys are working well because she has a significant amount of protein in her urine. What would you tell her?
Identification of a significant amount of protein in your urine is an abnormal finding which requires further clinical assessment.
It will resolve itself.
Drink 1-2 liters of water per day.
It is nothing to be worried about.
The Correct Answer is A
Choice A reason: Identification of a significant amount of protein in the urine (proteinuria) is an abnormal finding that can indicate underlying kidney problems. Proteinuria can be a sign of kidney disease, as the kidneys normally prevent large amounts of protein from entering the urine. When protein is detected in the urine, it suggests that the kidneys' filtering mechanism may be damaged. This condition requires further clinical assessment to determine the underlying cause and appropriate treatment.
Choice B reason: It is incorrect to assume that proteinuria will resolve itself without intervention. While some causes of proteinuria, such as temporary increases due to fever or intense physical activity, may be benign and resolve on their own, persistent or significant proteinuria is often indicative of a more serious underlying condition. Ignoring the presence of protein in the urine without further investigation could lead to worsening kidney function or other complications.
Choice C reason: While staying hydrated by drinking 1-2 liters of water per day is generally good advice for overall health, it is not a specific solution for proteinuria. Proper hydration can help maintain kidney function, but it does not address the underlying cause of protein in the urine. Clinical assessment and targeted treatment are necessary to manage proteinuria effectively.
Choice D reason: Dismissing proteinuria as nothing to be worried about is not appropriate. Significant protein in the urine is a clinical finding that warrants further investigation. It could be a sign of kidney disease, diabetes, hypertension, or other health issues that require medical attention. Early diagnosis and management are crucial to prevent potential complications and preserve kidney health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Gestational diabetes is a form of diabetes that occurs during pregnancy and typically resolves after childbirth. It is not typically associated with Hyperglycemic Hyperosmolar Nonketoic (HHNK) Syndrome, which is a specific complication of type 2 diabetes.
Choice B reason: Type 2 diabetes is characterized by insulin resistance and high blood glucose levels. HHNK is a serious acute complication of type 2 diabetes, occurring when blood glucose levels become extremely high, leading to severe dehydration and hyperosmolarity without significant ketoacidosis. This condition requires immediate medical attention.
Choice C reason: While both type 1 and type 2 diabetes involve issues with blood glucose regulation, HHNK is specifically associated with type 2 diabetes. Type 1 diabetes complications more commonly include Diabetic Ketoacidosis (DKA), rather than HHNK.
Choice D reason: Type 1 diabetes is characterized by the body's inability to produce insulin, leading to high blood glucose levels. However, the primary acute complication of type 1 diabetes is Diabetic Ketoacidosis (DKA), not HHNK. HHNK is distinct to type 2 diabetes, where insulin resistance leads to extremely high blood glucose levels and severe dehydration.
Correct Answer is C
Explanation
Choice A reason: Both the Somogyi effect and the dawn phenomenon can occur between 4 a.m. and 9 a.m., so this is not a distinguishing factor between the two. They both involve changes in blood glucose levels during this early morning period.
Choice B reason: Both phenomena are influenced by the release of certain hormones, including growth hormone, cortisol, and catecholamines. These hormones can contribute to early morning hyperglycemia, but this alone does not differentiate the Somogyi effect from the dawn phenomenon.
Choice C reason: The Somogyi effect, also known as rebound hyperglycemia, is characterized by a period of hypoglycemia (low blood sugar) that occurs during the night, often as a result of excess insulin or other diabetic treatments. This overnight hypoglycemia triggers a counter-regulatory hormone response that leads to hyperglycemia in the early morning. In contrast, the dawn phenomenon is characterized by hyperglycemia in the early morning without preceding hypoglycemia. The dawn phenomenon is due to the natural overnight release of hormones like growth hormone and cortisol, which cause the liver to release glucose into the blood.
Choice D reason: While both effects involve hormone-mediated changes in glucose metabolism, the key difference lies in the presence or absence of preceding hypoglycemia. The dawn phenomenon does not involve insulin resistance triggered by overnight hypoglycemia, whereas the Somogyi effect does. The distinction primarily lies in the nocturnal blood sugar patterns and the body's response to them.
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