A client comes to the clinic complaining of increase in thirst and increase in urination. The nurse does a urine dipstick and notices it turns positive for glucose. The nurse knows that the MOST likely reason for what the client is experiencing is because the patient has:
Renal failure
Bladder cancer
Diabetes mellitus
Kidney cancer
The Correct Answer is C
A. Renal failure: While renal failure can affect urine output, glucose in the urine (glucosuria) and polyuria with polydipsia are not the hallmark symptoms.
B. Bladder cancer: This may cause hematuria, but it doesn’t typically cause glucosuria, increased thirst, or urination.
C. Diabetes mellitus: In diabetes mellitus, high blood glucose levels exceed the renal threshold, leading to glucose spilling into the urine, causing polyuria (due to osmotic diuresis) and polydipsia.
D. Kidney cancer: Kidney cancer may cause flank pain, hematuria, or mass, not classic symptoms of diabetes or glucosuria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pressure within the renal tubules: This is tubular pressure, which opposes filtration and is not the driving force.
B. Blood pressure: Blood pressure within the glomerular capillaries provides the main hydrostatic pressure driving glomerular filtration.
C. Intrathoracic pressure: This affects respiration and venous return, not glomerular filtration.
D. Intraabdominal pressure: Elevated intraabdominal pressure can impair renal perfusion, but it does not drive filtration.
Correct Answer is C
Explanation
A. The stomach wall is thrown into folds called villi and microvilli: Villi and microvilli are found in the small intestine, not the stomach. The stomach has rugae.
B. The esophagus connects the pharynx with the trachea: The esophagus connects the pharynx to the stomach; the trachea connects to the lungs.
C. The pyloric sphincter and ileocecal valve are located at the entrance and exit of the small intestine: The pyloric sphincter regulates entry from the stomach to duodenum, and the ileocecal valve controls flow from the ileum to cecum.
D. The cecum and colon are parts of the small intestine: They are parts of the large intestine, not the small intestine.
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