A patient's urinalysis results are: white blood cells (WBC) 100+/hpf; red blood cells (RBC) 4/hpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy. What should the nurse recognize these findings indicate?

a. Dehydration
b. Urinary tract infection
c. Contamination from menstruation
d. Contamination of the specimen from bacteria on the perineum


ANS: B
Elevated WBCs, bacteria, nitrites, and cloudy urine indicate an infection. A. C. D. These findings do not indicate dehydration, contamination from menstruation, or bacterial contamination of the specimen.

Nursing

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Older people with type 2 diabetes mellitus frequently exhibit symptoms different from those in a younger people with type 2 diabetes mellitus. Symptoms in an older person may include

a. Incontinence b. Frequent thirst c. Anorexia d. A and C

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Which situation is an example of a major weakness of service-integrated structure?

1. Two different units have purchased a demonstration model that could be used by both units. 2. The pharmacy has been asked to compromise on the times medications are delivered to the units. 3. Nurse managers in several units are interviewing new graduates for staff positions. 4. The nurse manager of a unit is involved in a conflict between hospital management and the medical staff.

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Adherence is improved when a drug can be given once daily. Which of the following drugs can be given once daily?

1. Tacrine 2. Donepezil 3. Memantine 4. Pyridostigmine

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The nurse is preparing to interview a client with uterine fibroids. Which question should the nurse initially ask the client?

A. "Have you experienced an abnormal vaginal discharge?" B. "Are you experiencing any vaginal itching?" C. "Have you experienced an abnormal bleeding?" D. "Are you experiencing any pelvic pressure?"

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