The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?

cloudy urine

protein in the urine

Difficult urination

blood in urine

Answer and Explanation

The Correct Answer is D

A. cloudy urine: Cloudy urine typically refers to urine that appears turbid or murky due to the presence of various substances such as protein, bacteria, or mucus. While cloudy urine can sometimes indicate a urinary tract infection or other medical conditions, it is not specific to hematuria, which refers to the presence of blood in the urine.

B. protein in the urine: Protein in the urine, also known as proteinuria, is a separate finding from hematuria. Proteinuria occurs when there is an abnormal amount of protein in the urine, which can indicate kidney damage or other medical conditions. While proteinuria can coexist with hematuria in some cases, they are distinct assessment findings.

C. Difficult urination: Difficult urination, also known as dysuria, refers to pain, discomfort, or difficulty during urination. Dysuria can be caused by various factors such as urinary tract infections, bladder inflammation, or urethral disorders. While dysuria can sometimes accompany hematuria, they are different assessment findings with distinct underlying causes.

D. blood in urine: This statement is correct. Hematuria is the medical term for the presence of red blood cells in the urine, resulting in urine that appears pink, red, or brownish. Hematuria can be caused by a wide range of conditions, including urinary tract infections, kidney stones, bladder cancer, or kidney disease. It is an essential finding to report during an admission assessment as it may indicate underlying medical issues that require further evaluation and treatment.

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Correct Answer is A

Explanation

A. Conveying respect for the client's belief: This response acknowledges and respects the client's faith and belief system. It demonstrates empathy and supports the client's coping mechanisms during a challenging time. It fosters a therapeutic relationship by validating the client's feelings and beliefs, which can be essential for providing holistic care.

B. Further assessing the client's knowledge of cancer: While assessing the client's understanding of cancer is important, in this context, the client's statement reflects their coping mechanism and reliance on faith. Addressing the client's belief system and providing support in alignment with their spiritual beliefs should be the initial focus.

C. Notifying the physician immediately: There is no indication in the scenario that immediate medical intervention is necessary. The client's statement reflects their coping strategy and does not suggest an urgent medical concern.

D. Calling the chaplain for a consultation: While spiritual support is valuable, the client's statement does not indicate an immediate need for chaplaincy services. The nurse should first acknowledge and respect the client's belief before considering further spiritual support options, based on the client's preferences and needs.

A. Jugular vein distention B. Skin turgor, tenting at clavicular area C. Elevated hematocrit D. Oral mucous membranes dry and sticky

Correct Answer is ["B","C","D"]

Explanation

A. Jugular vein distention: Jugular vein distention is not typically associated with deficient fluid volume (dehydration). Instead, it is often seen in conditions of fluid overload, such as heart failure or volume overload. Therefore, this finding is not accurate for deficient fluid volume.

B. Skin turgor, tenting at clavicular area: Skin turgor refers to the skin's ability to return to its normal position after being pinched or pulled. In cases of deficient fluid volume (dehydration), skin turgor is decreased, leading to delayed return of the skin to its normal state. Tenting at the clavicular area is a specific sign of decreased skin turgor and is indicative of dehydration.

C. Elevated hematocrit: Deficient fluid volume (dehydration) leads to hemoconcentration, where there is a relative increase in the proportion of red blood cells to plasma volume. As a result, the hematocrit level, which represents the percentage of red blood cells in the total blood volume, increases. An elevated hematocrit is a laboratory finding commonly associated with deficient fluid volume.

D. Oral mucous membranes dry and sticky: Dehydration can lead to decreased saliva production and dryness of the oral mucous membranes. Dry and sticky oral mucous membranes are common clinical signs of deficient fluid volume (dehydration) and indicate inadequate fluid intake or loss.

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The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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