The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)
Trace glucose
Straw color
Foul odor
pH of 8.2
Specific gravity of 1.014
Correct Answer : C,D
A. Trace glucose: Trace glucose in the urine is not typically associated with infections; it may indicate diabetes or impaired glucose tolerance.
B. Straw color: Straw-colored urine is normal and does not indicate infection.
C. Foul odor: A foul odor in urine can be indicative of infection due to bacterial activity.
D. pH of 8.2: Alkaline urine (pH > 8.0) may indicate infection because some bacteria produce urease, which increases urine pH.
E. Specific gravity of 1.014: This is within the normal range and does not indicate infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Multiple life changes and hormone deficiencies: These factors may contribute to psychological stress but do not directly increase the risk of physical injury.
B. Bone demineralization and peripheral neuropathy: Chronic renal failure often leads to bone demineralization (secondary to disrupted calcium-phosphorus metabolism) and peripheral neuropathy (due to uremic toxins), both of which increase injury risk.
C. Impaired immune response and malnutrition: These are common in chronic renal failure but are more related to infection risk than injury.
D. Fatigue and drug side effects: While fatigue and medication effects can contribute to falls, the primary causes are bone and nerve damage.
Correct Answer is A
Explanation
A. Hyperkalemia: Hyperkalemia is the most life-threatening effect of renal failure because elevated potassium levels can cause dangerous cardiac arrhythmias or cardiac arrest.
B. Hypokalemia: Hypokalemia is not commonly associated with renal failure and is less immediately life-threatening than hyperkalemia.
C. Hypernatremia: While fluid imbalances can lead to hypernatremia, it is less critical than hyperkalemia in renal failure.
D. Hyponatremia: Although hyponatremia can occur in renal failure, its effects are typically less acutely life-threatening than hyperkalemia.
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