A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

White blood cells (WBC) count of10

Occasional casts

pH of 5.0

Dark amber color

Answer and Explanation

The Correct Answer is A

A. White blood cells (WBC) of 10: A WBC count of 10 is higher than the typical reference range (usually 0–5 WBCs per high-power field). An elevated WBC count suggests infection or inflammation, and this should be reported for further assessment.

B. Occasional casts: Occasional casts in the urine can be normal, especially hyaline casts, which may appear after exercise or mild dehydration. However, a high number of casts, or specific types like red or white cell casts, may indicate renal disease and would require follow-up.

C. pH of 5.0: A urine pH of 5.0 is within the normal acidic range (typically 4.5 to 8.0) and does not require reporting unless there are other abnormal findings or specific concerns about acidosis or alkalosis.

D. Dark amber color. Dark amber urine can indicate dehydration but is not an unusual finding by itself. Hydration can typically correct this, so it does not need immediate reporting unless accompanied by other concerning symptoms (e.g., jaundice, which might suggest bilirubinuria).

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Correct Answer is B

Explanation

A. I probably have problems with incontinence due to exposure to some bacteria while packaging candy on the line." While exposure to bacteria can lead to urinary tract infections, which might contribute to incontinence, this statement might not directly correlate to incontinence caused by job-related factors. It could be a contributing factor but might not solely explain work-related incontinence.

B. Limited or infrequent bathroom breaks can lead to urinary urgency and incontinence, especially for individuals who already have underlying risk factors.Strict monitoring of breaks can create anxiety and further contribute to the urgency and potential loss of bladder controL.

C."I probably have problems with incontinence because the water at work is disgusting and I don't drink enough. “Dehydration: Inadequate fluid intake can contribute to urinary problems, but the client specifically mentions a strict break policy, suggesting limited opportunities for toileting, which is a more direct contributing factor.

D."I probably have problems with incontinence because I am constantly exposed to pesticides at work." Exposure to pesticides might lead to various health issues, but it's less directly associated with urinary incontinence unless there's evidence suggesting a specific impact on bladder function.

A. Sodium 165 mEq/L B. Hematocrit 62% C. Urine specific gravity 1.020 D. Potassium 3.2 mEq/L

Correct Answer is C

No explanation

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A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is C

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