A client comes to the clinic with reports of dysuria and frequency. The nurse practitioner suspects that the client is experiencing a UTI. Which laboratory testing would be most important?

Urinalysis

Chest X-ray

Blood culture

Complete blood count (CBC)

Answer and Explanation

The Correct Answer is A

A. Urinalysis: This is the most important test for diagnosing a urinary tract infection (UTI). A urinalysis can reveal the presence of bacteria, white blood cells, and other indicators of infection.

B. Chest X-ray: A chest X-ray is not relevant for diagnosing a UTI and is typically used to assess the lungs.

C. Blood culture: Blood cultures are not routinely performed for a simple UTI unless the infection is suspected to be severe or has spread to the bloodstream.

D. Complete blood count (CBC): While a CBC may show an elevated white blood cell count in the presence of infection, it is not the primary test to confirm a UTI.

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Correct Answer is D

Explanation

A. Fever and chills: Fever and chills are signs of infection and do not contraindicate the use of phenazopyridine, which is used for pain relief in UTI.

B. Burning and pain with urination: These are symptoms of a UTI, and phenazopyridine is used to treat the associated discomfort.

C. Bright orange urine: This is a common side effect of phenazopyridine and does not contraindicate its use.

D. History of renal impairment: Phenazopyridine is contraindicated in patients with renal impairment because it can accumulate in the body, leading to toxicity.

A. To measure the pH level of the urine B. To check for the presence of blood in the urine C. To assess kidney function D. To determine the specific bacteria causing the infection

Correct Answer is D

Explanation

A. To measure the pH level of the urine: Urine pH can be useful in certain conditions but is not the primary reason for culture and sensitivity.

B. To check for the presence of blood in the urine: Although blood may be present in urine during a UTI, this is not the primary reason for obtaining a culture and sensitivity.

C. To assess kidney function: While kidney function may be assessed via other tests, culture and sensitivity focus on identifying the causative bacteria in a UTI.

D. To determine the specific bacteria causing the infection: A urine culture and sensitivity test helps identify the specific bacteria causing the UTI and determine the most effective antibiotic treatment.

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A client comes to the clinic with reports of dysuria and frequency. The nurse practitioner suspects that the client is experiencing a UTI. Which laboratory testing would be most important?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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