A nurse is reviewing urinary laboratory results. Which findings should prompt the nurse to follow up?

Specific gravity of 1.036.

pH of 6.4.

Presence of proteinuria.

Presence of hematuria.

Answer and Explanation

Correct Answer : A,C

Choice A rationale

A specific gravity of 1.036 is higher than the normal range of 1.005 to 1.030345. This could indicate dehydration or other conditions that cause the urine to be more concentrated. This finding should prompt the nurse to follow up.

Choice B rationale

A pH of 6.4 is within the normal range for urine, which is typically between 4.6 and 8.03. Therefore, this finding would not necessarily require follow-up.

Choice C rationale

The presence of proteinuria (protein in the urine) is abnormal and could indicate kidney disease or other serious health conditions. This finding should prompt the nurse to follow up.

Choice D rationale

The presence of hematuria (blood in the urine) can be a sign of several conditions, including urinary tract infections, kidney stones, or bladder infections. However, without more information, it’s not clear whether this finding alone should prompt the nurse to follow up.

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Correct Answer is A

Explanation

Choice A rationale

The nurse should plan to refrigerate the urine during the collection time period. This is because the urine needs to be kept cool to prevent the breakdown of certain analytes that might be measured in the urine.

Choice B rationale

The nurse should not discard the client’s last void at the end of the collection time period. The last voided specimen should be included in the collection to ensure that the 24-hour collection is complete.

Choice C rationale

The nurse should not include toilet paper with the collected urine. Toilet paper could contaminate the urine sample and interfere with the accuracy of the test results.

Choice D rationale

The nurse should not save the first void at the start of the collection time period. The first voided specimen should be discarded, and the collection should start with the next void.

Correct Answer is ["75"]

Explanation

Step 1 is to divide the total volume of TPN by the total time in hours.

So, 1800 mL ÷ 24 hr = 75 mL/hr.

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A nurse is reviewing urinary laboratory results. Which findings should prompt the nurse to follow up?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain a 24-hour urine collection from a client. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is ["75"]

Explanation

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