Concepts of clinical decision making module 3 - Urinary

After reviewing the urinalysis reports of a client with a renal disorder, the nurse concludes that the client may have a urinary tract infection. Which urinary laboratory findings enabled the nurse to make this conclusion? Select all that apply.

-pH of 8.5 -White blood cells: 6/hpf

Which actions should the nurse perform while collecting subjective data from a client during a focused urinary assessment? Select all that apply.

-inquire about painful urination -ask the client about changes in characteristics of urination

Which client's urine specific gravity level is abnormal?

1.041

Which instructions given to a client with renal calculi would be most beneficial? Select all that apply.

-Drink plenty of water -Substitute lemon juice for tea.

A client with a renal disorder is scheduled for an intravenous pyelogram (IVP). Which interventions should the nurse undertake prior to the procedure? Select all that apply.

-Ensure that the consent form is signed -Assess the client for iodine sensitivity -Administer an enema or cathartic to the client

What are the general manifestations associated with clients who have urinary system disorders? Select all that apply.

-Excessive thirst -nausea and vomiting -elevated blood pressure

Which complications does the nurse expect in the client with a renal disorder who has a blood urea nitrogen (BUN)/creatinine ratio of 28? Select all that apply.

-Fluid volume deficit -Obstructive uropathy

The nurse is collecting the urine specimen of a client who has an indwelling catheter. Arrange in order the procedure involved in the collection of urine.

1.Apply a clamp to the drainage tubing distal to the injection port 2.Clean the injection port with an antiseptic 3.Attach a 5-mL sterile syringe into the port 4.Aspirate the quantity of the urine required 5.Inject the urine sample into sterile specimen container 6.Remove the clamp to resume the drainage 7.Dispose of the syringe

The student nurse is collecting a clean-catch midstream urine specimen from a client suspected of urinary tract infection. After reviewing the results, the head nurse instructs the student nurse to repeat the procedure. Which finding in the urinalysis report supports the head nurse's instruction?

10^4 organisms/mL

After reviewing the urine diagnostic reports of four clients, a nurse suspects a client is at risk to develop end-stage kidney disease. Which client's findings support the nurse's suspicion?

Client D has a serum albumin concentration of 398 mg/24 hr

A client suspected of a renal disorder is scheduled for an imaging procedure. The nurse instructs the client to drink lots of fluids after the procedure and informs that a contrast dye will be administered before the procedure. Which imaging procedure is the client undergoing?

Computed tomography

The nurse finds that a client with a urinary disorder has very pale-yellow-colored urine. What is the significance of this abnormal finding?

It indicates dilute urine

The nurse is performing a physical examination of a client by placing the left hand on the back and supporting the client's right side between the rib cage and the iliac crest. Which physical assessment maneuver is the nurse performing on this client?

Palpation

After reviewing the urinalysis reports of a group of clients, a nurse suspects a client to have kidney disease. Which client's findings support the nurse's suspicion?

Patient with a higher creatinine level. Normal levels are 0.7-1.4

The urinalysis report of a client reveals cloudy urine. What does a nurse infer from the client's report?

The client has a urinary infection.

The nurse is reviewing the urinalysis reports of four clients with renal disorders.Which client's finding signifies the presence of excessive bilirubin?

yellow-brown to olive-green