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 C
Explanation
Choice A reason: While obesity can be associated with hypercholesterolemia, this condition primarily affects lipid levels and cardiovascular health rather than directly impairing insulin circulation.
Choice B reason: Obesity is not solely a result of high sugar intake. While diet plays a role, obesity involves a complex interplay of genetic, environmental, and lifestyle factors. High sugar intake can contribute to weight gain, but it is not the direct cause of obesity.
Choice C reason: Obesity releases fatty acids and cytokines, which interfere with insulin receptors. Adipose tissue in obese individuals releases pro-inflammatory cytokines and fatty acids that can cause insulin resistance by interfering with insulin signaling pathways.
Choice D reason: Obesity is not directly associated with a mutation of the MiR-21 gene. While genetic factors can contribute to obesity and type 2 diabetes, the primary mechanism involves metabolic and inflammatory pathways rather than specific gene mutations.
Correct Answer is D
Explanation
Choice A reason: The neck is the most common site where individuals with Hodgkin Lymphoma (HL) present with nontender enlarged lymph nodes. These lymph nodes are typically firm and rubbery in texture. The cervical lymph nodes are often affected first in HL, making the neck a primary area of concern for this type of lymphoma. Early detection and biopsy of these lymph nodes can help in diagnosing HL.
Choice B reason: While the abdomen can be involved in Hodgkin Lymphoma, it is not the most common initial presentation site. Involvement of the abdominal lymph nodes typically occurs at later stages of the disease. Enlarged lymph nodes in the abdomen can be detected through imaging studies but are less accessible for physical examination compared to those in the neck.
Choice C reason: The kidney is not a typical site for lymph node involvement in Hodgkin Lymphoma. HL primarily affects the lymphatic system, including lymph nodes, spleen, and other lymphoid tissues. Direct involvement of the kidney is rare and usually occurs in advanced stages of the disease.
Choice D reason: The spleen is a lymphoid organ that can be involved in Hodgkin Lymphoma, especially in more advanced stages. However, it is not the primary site where nontender enlarged lymph nodes are first detected. Enlargement of the spleen (splenomegaly) can occur due to the spread of HL, but the initial presentation is usually in the lymph nodes of the neck.
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