A client voided clear, yellow urine.

The client is dehydrated.

The client has a urinary tract infection.

The client has normal urine output.

The client has kidney stones.

Answer and Explanation

The Correct Answer is C

Choice A rationale
The client is dehydrated. Dehydration typically results in concentrated, dark yellow urine. Clear, yellow urine indicates that the client is well-hydrated and not dehydrated. Dehydration would cause the urine to be more concentrated and darker in color due to the reduced volume of water in the body.
Choice B rationale
The client has a urinary tract infection. A urinary tract infection (UTI) often causes urine to appear cloudy, foul-smelling, or tinged with blood. Clear, yellow urine is not indicative of a UTI. UTIs are usually associated with symptoms such as pain or burning during urination, frequent urination, and cloudy or bloody urine.
Choice C rationale
The client has normal urine output. Clear, yellow urine is a sign of normal urine output and indicates that the client is well-hydrated. Normal urine color ranges from pale yellow to amber, depending on the concentration of the urine. Clear, yellow urine suggests that the client is drinking an adequate amount of water and maintaining proper hydration.
Choice D rationale
The client has kidney stones. Kidney stones can cause urine to appear cloudy, pink, red, or brown due to the presence of blood. Clear, yellow urine is not indicative of kidney stones. Symptoms of kidney stones include severe pain in the back or side, blood in the urine, and frequent urination. Clear, yellow urine suggests that the client does not have kidney stones.

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Correct Answer is D

Explanation

Choice A rationale
Recording a palpable systolic pressure of 90 mm Hg without further action would likely underestimate the true systolic pressure. The nurse should inflate the cuff to a higher pressure to obtain an accurate measurement.
Choice B rationale
Releasing the manometer valve immediately would lead to deflating the cuff and potentially missing the opportunity to obtain an accurate blood pressure measurement.
Choice C rationale
Documenting the absence of the radial pulse is important, but it is also crucial to ensure that blood pressure measurements are obtained correctly. Further action is needed to obtain an accurate measurement.
Choice D rationale
Inflating the blood pressure cuff to 120 mm Hg is the correct action. When the radial pulse becomes unpalpable during cuff inflation, the cuff should be inflated to a higher pressure (usually 20-30 mm Hg above the point where the radial pulse disappears) and then slowly deflated while palpating for the return of the radial pulse.

A. “The healthcare provider will share this information with you.”. B. “I’m sorry, but your child’s medical information is none of your business.”. C. “I can give you those results as soon as I get them back from the laboratory.”. D. “I can only give medical information to your child because they are legally an adult.”.

Correct Answer is D

Explanation

Choice A rationale
Stating that the healthcare provider will share the information does not address the legal status of the emancipated minor and may delay the communication of important information.
Choice B rationale
Telling the parents that their child’s medical information is none of their business is not respectful and does not provide a clear explanation of the legal situation.
Choice C rationale
Offering to give the results to the parents as soon as they are available does not respect the legal autonomy of the emancipated minor.
Choice D rationale
Explaining that medical information can only be given to the client because they are legally an adult is the best response. It respects the legal status of the emancipated minor and their right to make their own healthcare decisions.

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A client voided clear, yellow urine.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?

Correct Answer is D

Explanation

A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client’s parents arrive and are asking querry about the client’s laboratory results.Which response is best for the nurse to provide?

Correct Answer is D

Explanation

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