The nurse is collecting a urine specimen from a client and notes the urine is foamy and amber in color. The nurse would suspect which of the following in this situation?
1. Kidney stones
2. Urinary tract infection
3. Prostate disease
4. Liver disease
4
Rationale 1: Pain is the primary symptom for the client with kidney stones. The pain may radiate and is variable in location and severity. Other symptoms include spasms, nausea, vomiting, pain on urination, frequency and urgency of urination, and gross hematuria.
Rationale 2: If a urinary tract infection is present, the client may complain of pain during urination with urgency, frequency, dribbling, pain upon urination, and suprapubic or lower back pain. Hematuria, as well as cloudy and foul-smelling urine may also accompany a urinary tract infection.
Rationale 3: Prostate disease may make it difficult for male clients to begin or maintain their urine stream.
Rationale 4: Foamy, amber-colored urine frequently is an indication of hepatic illness (liver disease).
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The four universal concepts that are central to nursing practice are:
a. person, nurse, health, and environment. b. person, physician, health, and environment. c. person, nurse, health, and culture. d. person, nurse, environment, and culture.
While assessing an older adult client admitted 2 days ago with a fractured hip, the nurse notes that the client is confused, tachypneic, and restless. What is the nurse's first action?
A. Administer oxygen. B. Notify the physician. C. Slow the IV flow rate. D. Discontinue the pain medication.