A nurse reviews a female client's laboratory results. Which results from the client's urinalysis should the nurse recognize as abnormal?
a. pH 5.6
b. Ketone bodies present
c. Specific gravity of 1.020
d. Clear and yellow color
Question 2A nurse reviews the allergy list of a client who is scheduled for an intravenous urography. Which client allergy should alert the nurse to urgently contact the health care provider?
a. Seafood
b. Penicillin
c. Bee stings
d. Red food dye
Question 3A nurse cares for a client with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for an intravenous urography. Which action should the nurse take first?
a. Contact the provider and recommend discontinuing the metformin.
b. Keep the client NPO for at least 6 hours prior to the examination.
c. Check the client's capillary artery blood glucose and administer prescribed insulin.
d. Administer intravenous fluids to dilute and increase the excretion of dye.
Question 4A nurse cares for a client with a urine specific gravity of 1.018. Which action should the nurse take?
a. Evaluate the client's intake and output for the past 24 hours.
b. Document the finding in the chart and continue to monitor.
c. Obtain a specimen for a urine culture and sensitivity.
d. Encourage the client to drink more fluids, especially water.
Question 5A nurse contacts the health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen (BUN) of 35 mg/dL and a creatinine of 1.0 mg/dL. For which action should the nurse recommend a prescription?
a. Intravenous fluids
b. Hemodialysis
c. Fluid restriction
d. Urine culture and sensitivity