NUR 170 MED SURG EXAM 4 Presentation-Galen College of Nursing
Exam (elaborations)
,Chapter 65: Assessment of the Renal/Urinary System
,1. A nurse reviews the urinalysis of a client and notes the
presence of glucose. Which action should the nurse
take?
a. Document findings and continue to monitor the client.
B. Contact the provider and recommend a 24-hour urine test.
C. Review the clients recent dietary selections.
d. Perform a capillary artery glucose assessment.
, ANS: D
Glucose normally is not found in the urine. The normal renal
threshold for glucose is about 220 mg/dL, which means that a
person whose blood glucose is less than 220 mg/dL will not
have glucose in the urine. A positive finding for glucose on
urinalysis indicates high blood sugar. The most appropriate
action would be to perform a capillary artery glucose
assessment. The client needs further evaluation for this
abnormal result; therefore, documenting and continuing to
monitor is not appropriate. Requesting a 24-hour urine test or
reviewing the clients dietary selections will not assist the nurse
to make a clinical decision related to this abnormality.
Exam (elaborations)
,Chapter 65: Assessment of the Renal/Urinary System
,1. A nurse reviews the urinalysis of a client and notes the
presence of glucose. Which action should the nurse
take?
a. Document findings and continue to monitor the client.
B. Contact the provider and recommend a 24-hour urine test.
C. Review the clients recent dietary selections.
d. Perform a capillary artery glucose assessment.
, ANS: D
Glucose normally is not found in the urine. The normal renal
threshold for glucose is about 220 mg/dL, which means that a
person whose blood glucose is less than 220 mg/dL will not
have glucose in the urine. A positive finding for glucose on
urinalysis indicates high blood sugar. The most appropriate
action would be to perform a capillary artery glucose
assessment. The client needs further evaluation for this
abnormal result; therefore, documenting and continuing to
monitor is not appropriate. Requesting a 24-hour urine test or
reviewing the clients dietary selections will not assist the nurse
to make a clinical decision related to this abnormality.
