The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)
a. Straw color
b. Foul odor
c. Trace glucose
d. pH of 8.2
e. Specific gravity of 1.014
ANS: B, D
Urinalysis properties indicating infection include a foul odor and pH > 8.0. Urine the color of straw, clear yellow, or amber is a normal finding. A trace amount of glucose in the urine is a normal finding. The normal range of specific gravity is 1.003 to 1.029.
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An infant is born weighing 6 lb, 1 oz and has gastroschisis. The nurse anticipates running this infant's IV fluids at a rate of ____________________ mL/hour
ANS:
Problems such as domestic violence, sexually transmitted infections (STIs), school failure, and motor vehicle accidents (MVAs) are attributed to:
a. lack of supervision. b. psychological problems. c. substance abuse. d. physiological problems.
The nurse is caring for a 7-year-old boy who needs his left leg immobilized. What is the priority nursing intervention?
A) Enlist the assistance of a child life specialist. B) Explain to the boy that he must keep his leg very still. C) Apply a clove hitch restraint to the boy's left leg. D) Explain that a restraint will be applied if he cannot hold still.
The client with tachycardia is experiencing all of the following clinical manifestations. Which one alerts the nurse to the need for immediate intervention?
A. Chest pain B. Increased urine output C. Mild orthostatic hypotension D. ECG tracing with P wave touching the T wave