Your aunt told you that she is happy that her kidneys are working well because she has a significant amount of protein in her urine. What would you tell her?
Identification of a significant amount of protein in your urine is an abnormal finding which requires further clinical assessment.
It will resolve itself.
Drink 1-2 liters of water per day.
It is nothing to be worried about.
The Correct Answer is A
Choice A reason: Identification of a significant amount of protein in the urine (proteinuria) is an abnormal finding that can indicate underlying kidney problems. Proteinuria can be a sign of kidney disease, as the kidneys normally prevent large amounts of protein from entering the urine. When protein is detected in the urine, it suggests that the kidneys' filtering mechanism may be damaged. This condition requires further clinical assessment to determine the underlying cause and appropriate treatment.
Choice B reason: It is incorrect to assume that proteinuria will resolve itself without intervention. While some causes of proteinuria, such as temporary increases due to fever or intense physical activity, may be benign and resolve on their own, persistent or significant proteinuria is often indicative of a more serious underlying condition. Ignoring the presence of protein in the urine without further investigation could lead to worsening kidney function or other complications.
Choice C reason: While staying hydrated by drinking 1-2 liters of water per day is generally good advice for overall health, it is not a specific solution for proteinuria. Proper hydration can help maintain kidney function, but it does not address the underlying cause of protein in the urine. Clinical assessment and targeted treatment are necessary to manage proteinuria effectively.
Choice D reason: Dismissing proteinuria as nothing to be worried about is not appropriate. Significant protein in the urine is a clinical finding that warrants further investigation. It could be a sign of kidney disease, diabetes, hypertension, or other health issues that require medical attention. Early diagnosis and management are crucial to prevent potential complications and preserve kidney health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While certain medications can affect bladder control, they are not the primary cause of stress incontinence. Stress incontinence is specifically related to physical exertion and increased pressure on the bladder, leading to involuntary urine leakage.
Choice B reason: Hypertension, or high blood pressure, is not a direct cause of stress incontinence. Stress incontinence is related to the weakening of pelvic floor muscles and increased intra-abdominal pressure rather than blood pressure levels.
Choice C reason: A full bladder can increase the likelihood of urine leakage in individuals with stress incontinence, but it is not the underlying cause. Stress incontinence occurs due to weakened pelvic floor muscles and increased pressure during physical activities.
Choice D reason: Stress incontinence occurs due to exertional stimuli that increase intra-abdominal pressure, such as coughing, sneezing, laughing, or physical exercise. These activities cause a sudden increase in pressure on the bladder, leading to involuntary urine leakage. The condition is often associated with weakened pelvic floor muscles, which can result from factors such as childbirth, aging, or pelvic surgery.
Correct Answer is D
Explanation
Choice A reason: Risk factors for type 2 diabetes include hypertension, family history, and obesity. These factors increase the likelihood of developing type 2 diabetes. Hypertension, or high blood pressure, is often seen in individuals with type 2 diabetes due to the correlation between these conditions. A family history of diabetes indicates a genetic predisposition to the disease. Obesity, particularly central obesity (excess fat around the abdomen), is a significant risk factor as it contributes to insulin resistance, a key component in the pathophysiology of type 2 diabetes.
Choice B reason: The onset of type 2 diabetes is typically gradual, which means that it develops slowly over time. Many individuals may have prediabetes for years before their condition progresses to type 2 diabetes. This gradual onset can make it challenging to diagnose early, as symptoms may be mild or absent initially. Early detection through routine screening and awareness of risk factors is essential in managing and preventing the progression of the disease.
Choice C reason: Type 2 diabetes accounts for approximately 90-95% of all diabetes cases. It is the most common form of diabetes and is primarily characterized by insulin resistance and relative insulin deficiency. Unlike type 1 diabetes, where the body's immune system attacks and destroys insulin-producing cells, type 2 diabetes typically develops due to a combination of genetic and lifestyle factors, such as poor diet and lack of physical activity.
Choice D reason: Significant weight loss is not a typical sign of type 2 diabetes. Instead, it is more commonly associated with type 1 diabetes, where the body cannot produce insulin, leading to the breakdown of fat and muscle for energy. In type 2 diabetes, weight loss may occur if blood sugar levels are very high, but it is not a common initial symptom. More commonly, individuals with type 2 diabetes may experience symptoms such as increased thirst, frequent urination, and fatigue.
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