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 D
Explanation
A. Causes a deficiency of intrinsic factor and pernicious anemia: Intrinsic factor is produced in the stomach, not the liver. Its deficiency leads to pernicious anemia.
B. Causes lactose intolerance: Lactose intolerance is due to lactase deficiency in the small intestine.
C. Causes gastric reflux: Gastroesophageal reflux is typically due to lower esophageal sphincter dysfunction.
D. Causes blood drug levels to reach toxic levels: The liver metabolizes drugs. Impaired hepatic function reduces drug clearance, leading to accumulation and potential toxicity.
Correct Answer is C
Explanation
A. Mouth, pharynx, large intestine, small intestine: The small intestine comes before the large intestine in the digestive tract.
B. Mouth, esophagus, stomach, pharynx, small intestine: The pharynx comes before the esophagus, not after.
C. Mouth, pharynx, esophagus, stomach, small intestine: This is the correct order of food movement through the upper GI tract.
D. Mouth, pharynx, stomach, esophagus, anus: The esophagus precedes the stomach, and the anus is the final structure after the large intestine.
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