Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

Reduced specific gravity

Abnormal blood sugar

Fever with chills

Increased blood pressure

Answer and Explanation

The Correct Answer is C

Choice A reason: Reduced specific gravity indicates dilute urine, often due to high fluid intake or renal issues, not directly linked to excessive white blood cells (pyuria). Pyuria typically results from infection or inflammation, which does not inherently alter urine concentration or specific gravity measurements.

Choice B reason: Abnormal blood sugar is associated with diabetes or metabolic disorders, not directly with white blood cells in urine. While urinary infections may occur in diabetic patients, pyuria itself does not cause or indicate blood sugar abnormalities, making this an unrelated manifestation.

Choice C reason: Excessive white blood cells in urine often indicate a urinary tract infection (UTI). Infections trigger an immune response, releasing pyrogens that cause fever and chills. These systemic symptoms reflect the body’s attempt to combat pathogens, commonly observed in UTIs or pyelonephritis.

Choice D reason: Increased blood pressure is not a direct consequence of white blood cells in urine. While chronic kidney infections could indirectly affect blood pressure via renal damage, pyuria itself does not immediately cause hypertension, making this an unlikely primary manifestation.

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Correct Answer is C

Explanation

Choice A reason: Antibiotic-associated diarrhea is common due to gut flora disruption, often benign or linked to Clostridium difficile. This statement aligns with expected side effects, requiring monitoring but not immediate further questioning compared to persistent symptoms.

Choice B reason: Green colostomy output can result from dietary changes (e.g., green vegetables) or medications. This is a normal variation and does not warrant urgent questioning unless accompanied by systemic symptoms like fever or pain.

Choice C reason: Strong-smelling liquid stool for several days suggests potential infection, malabsorption, or inflammatory conditions (e.g., C. difficile, colitis). Persistent symptoms warrant further questioning to assess duration, associated symptoms, and risk factors for serious pathology.

Choice D reason: Black, thick stool is a known side effect of ferrous sulfate due to iron oxidation in the gut. This is benign and expected, not requiring further questioning unless other symptoms like bleeding are present.

A. I will go get you some narcotic pain relievers immediately. B. Your vitals do not show that you are having pain; can you describe your pain? C. You do not look like you are in pain. D. What would you like to try to alleviate your pain?

Correct Answer is D

Explanation

Choice A reason: Offering narcotics immediately without assessing pain details or considering nonpharmacological options is not therapeutic. Pain management requires a tailored approach, evaluating pain characteristics and patient preferences, as narcotics carry risks like respiratory depression, especially post-surgery, necessitating cautious use.

Choice B reason: Dismissing pain based on stable vitals is not therapeutic. Pain is subjective, and normal vitals (e.g., 110/60 mmHg, 60 bpm) don’t negate severe pain. This response invalidates the patient’s experience, potentially eroding trust and delaying effective pain management.

Choice C reason: Stating the patient doesn’t look in pain is dismissive and non-therapeutic. Pain is subjective, and external appearance may not reflect internal experience, especially in stoic patients. This response risks undermining patient trust and delaying appropriate pain relief interventions.

Choice D reason: Asking what the patient wants to try is therapeutic, promoting patient-centered care. It validates the patient’s pain, encourages shared decision-making, and considers both pharmacological and nonpharmacological options, optimizing pain relief while respecting patient autonomy and preferences post-surgery.

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Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

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Naxlex Comprehensive Predictor Exams

Which of the following client statements would cause the nurse to further question the client?

Correct Answer is C

Explanation

A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mmHg, and heart rate is 60 beats/min. Additionally, the patient does not appear to be in any distress. Which response by the nurse is most therapeutic?

Correct Answer is D

Explanation

A nurse working in a hospital included abdominal assessment as part of patient assessment. In which patient would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes?

The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is teaching a health class about colorectal cancer. Which information is incorrect and should not be included in the teaching session?

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A nurse is caring for a client who has not voided for 8 hours following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take first?