The nurse is reviewing results of a routine urinalysis that indicate the presence of protein in the urine. How does the nurse interpret this finding?
1. The client probably has kidney damage.
2. The results are probably insignificant if the amount of protein is very small.
3. There is likely a mistake with the results, and the client should have another test done.
4. The client is in acute renal failure, and should be hospitalized.
Correct Answer: 1
Rationale 1: Protein is always an abnormal finding on urinalysis; it indicates damage to the glomerular membrane.
Rationale 2: Any amount of protein in the urine is a sign of kidney damage.
Rationale 3: There is no evidence to support an error in the urinalysis.
Rationale 4: There are multiple criteria that must be met for a diagnosis of renal failure, and no evidence of these is presented.
Global Rationale: Protein is always an abnormal finding on urinalysis; it indicates damage to the glomerular membrane. Any amount of protein in the urine is a sign of kidney damage. There is no evidence to support an error in the urinalysis. There are multiple criteria that must be met for a diagnosis of renal failure, and no evidence of these is presented.
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