The nurse is reviewing a patient's urinalysis results: white blood cells (WBC) 100+/hpf; red blood cells (RBC) 4/hpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy
What would the nurse recognize these finding as indicating?
a. Dehydration
b. Urinary tract infection
c. Contamination of the specimen from bacteria on the perineum
d. Contamination from menstruation
ANS: B
Normal: Straw to amber color, clear, specific gravity 1.002 to 1.028, small quantities of enzymes and hormones, pH is 4.6 to 8, RBC 0 to 4/hpf, WBC 0 to 5/hpf, negative nitrite. Elevated WBCs, bacteria, nitrites, and cloudy urine indicate an infection.
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A 67-year-old farmer is at the clinic because he has been sleepy during the day. Which sleep change occurs with age?
a. Older adults spend more time in stage 3. b. Older adults spend more time in REM sleep. c. Older adults spend more time in falling asleep. d. Older adults spend more time in deep sleep.
A nurse urges a 50-year-old overweight executive who had a myocardial infarction (MI) 3 months earlier to take up some conditioning exercises for 30 minutes a day. What rationale sup-ports this suggestion? (Select all that apply.)
a. Lose weight. b. Improve function of the left ventricle. c. Decrease arterial stiffening. d. Decrease cholesterol levels. e. Improve cardiac dysrhythmia.
The nurse is monitoring a client who has returned to the unit after arterial revascularization. The client reports pain in the affected limb that is similar to the pain experienced before the procedure. What is the nurse's best action?
a. Assess the peripheral pulses in the limb. b. Elevate the affected extremity on pillows. c. Administer pain medication as prescribed. d. Place a warm blanket on the operative limb.
The partner of a client at 16 weeks' gestation accompanies her to the clinic. The partner tells the nurse that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions
Which statement would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy." 2. "My husband had no problem with this. What was your childhood like?" 3. "You might need professional psychological counseling. Ask your physician." 4. "Many men feel this way. Feeling the baby move in a few weeks will help make it real to you."