ATI Renal And Urinary Test Bank Flashcard
ii ii ii ii ii ii
Complete Exam Questions With Detailed Verified
ii ii ii ii ii ii
Answers (100% Correct Answers) /Already Graded
ii ii ii ii ii ii
A+
ii
ii
A iinurse iireviews iithe iiurinalysis iiof iia iiclient iiand iinotes iithe iipresence iiof iiglucose.
iiWhich ii
ii
action iishould iithe iinurse
iitake?
ii
a. Document iifindings iiand iicontinue iito iimonitor iithe iiclient. ii
ii
b. Contact iithe iiprovider iiand iirecommend iia ii24-hour iiurine iitest. ii
ii
c. Review iithe iiclients iirecent iidietary iiselections. ii
ii
d. Perform iia iicapillary iiartery iiglucose iiassessment. ii- iiANS: iiD ii
Glucose iinormally iiis iinot iifound iiin iithe iiurine. iiThe iinormal iirenal iithreshold iifor iiglucose iiis
iiabout ii220 iimg/dL, iiwhich iimeans iithat iia iiperson iiwhose iiblood iiglucose iiis iiless iithan ii220
iimg/dL iiwill iinot iihave iiglucose iiin iithe iiurine. iiA iipositive iifinding iifor iiglucose iion iiurinalysis
iiindicates iihigh iiblood iisugar. iiThe iimost iiappropriate iiaction iiwould iibe iito iiperform iia
iicapillary iiartery iiglucose iiassessment. iiThe iiclient iineeds iifurther iievaluation iifor iithis
iiabnormal iiresult; iitherefore, iidocumenting iiand iicontinuing iito iimonitor iiis iinot
iiappropriate. iiRequesting iia ii24hour iiurine iitest iior iireviewing iithe iiclients iidietary
iiselections iiwill iinot iiassist iithe iinurse iito iimake iia iiclinical iidecision iirelated iito iithis
iiabnormality. ii
ii
A iinurse iireviews iithe iihealth iihistory iiof iia iiclient iiwith iian iioversecretion iiof iirenin.
iiWhich ii
ii
disorder iishould iithe iinurse iicorrelate iiwith iithis iiassessment
iifinding?
ii
a. Alzheimers iidisease ii
ii
b. Hypertension ii
ii
c. Diabetes iimellitus ii ii
ii
d. Viral iihepatitis ii- iiANS: iiB ii
Renin iiis iisecreted iiwhen iispecial iicells iiin iithe iidistal iiconvoluted iitubule, iicalled iithe
iimacula iidensa, iisense iichanges iiin iiblood iivolume iiand iipressure. iiWhen iithe iimacula
iidensa iicells iisense iithat iiblood iivolume, iiblood iipressure, iior iiblood iisodium iilevels iiare
iilow, iirenin iiis iisecreted. iiRenin iithen iiconverts iiangiotensinogen iiinto iiangiotensin iiI. iiThis
iileads iito iia iiseries iiof iireactions iithat iicause iisecretion iiof iithe iihormone iialdosterone. iiThis
iihormone iiincreases iikidney iireabsorption iiof iisodium iiand iiwater, iiincreasing iiblood
iipressure, iiblood iivolume, iiand iiblood iisodium iilevels. iiInappropriate iior iiexcessive iirenin
,iisecretion iiis iia iimajor iicause iiof iipersistent iihypertension. iiRenin iihas iino iiimpact iion
iiAlzheimers iidisease, iidiabetes iimellitus, iior iiviral iihepatitis. ii
ii
A iinurse iireviews iithe iiurinalysis iiresults iiof iia iiclient iiand iinotes iia iiurine iiosmolality iiof
ii1200 ii
ii
mOsm/L. iiWhich iiaction iishould iithe iinurse
iitake?
ii
a. Contact iithe iiprovider iiand iirecommend iia iilow-sodium iidiet. ii
b. Prepare iito iiadminister iian iiintravenous iidiuretic. ii
ii
c. Obtain iia iisuction iidevice iiand iiimplement iiseizure iiprecautions. ii ii
ii
d. Encourage iithe iiclient iito iidrink iimore iifluids. ii- iiANS: iiD ii
Normal iiurine iiosmolality iiranges iifrom ii300 iito ii900 iimOsm/L. iiThis iiclients iiurine iiis iimore
iiconcentrated, iiindicating iidehydration. iiThe iinurse iishould iiencourage iithe iiclient iito iidrink
iimore iiwater. iiDehydration iican iibe iiassociated iiwith iielevated iiserum iisodium iilevels.
iiAlthough iia iilow-sodium iidiet iimay iibe iiappropriate iifor iithis iiclient, iithis iidiet iichange iiwill
iinot iihave iia iisignificant iiimpact iion iiurine iiosmolality. iiA iidiuretic iiwould iiincrease iiurine
iioutput iiand iidecrease iiurine iiosmolality iifurther. iiLow iiserum iisodium iilevels, iinot iielevated
iiserum iilevels, iiplace iithe iiclient iiat iirisk iifor iiseizure iiactivity. iiThese iioptions iiwould iifurther
iicontribute iito iithe iiclients iidehydration iior iielevate iithe iiosmolality. ii
ii
A iinurse iiassesses iia iiclient iiwith iirenal iiinsufficiency iiand iia iilow iired iiblood iicell iicount.
iiThe ii
ii
client iiasks, iiIs iimy iianemia iirelated iito iithe iirenal iiinsufficiency? iiHow iishould iithe
iinurse
ii
respond?
ii
a. iiRed iiblood iicells iiproduce iierythropoietin, iiwhich iiincreases iiblood iiflow iito iithe iikidneys.
ii
ii
b. iiYour iianemia iiand iirenal iiinsufficiency iiare iirelated iito iiinadequate iivitamin iiD iiand iia iiloss
iiof ii
ii
bone
iidensity.
ii
c. iiErythropoietin iiis iiusually iireleased iifrom iithe iikidneys iiand iistimulates iired iiblood
iicell ii
ii
production iiin iithe iibone
iimarrow.
ii
d. iiKidney iiinsufficiency iiinhibits iiactive iitransportation iiof iired iiblood iicells iithroughout iithe
iiblood. ii- iiANS: iiC ii
Erythropoietin iiis iiproduced iiin iithe iikidney iiand iiis iireleased iiin iiresponse iito iidecreased
iioxygen iitension iiin iithe iirenal iiblood iisupply. iiErythropoietin iistimulates iired iiblood iicell
iiproduction iiin iithe iibone iimarrow. iiAnemia iiand iirenal iiinsufficiency iiare iinot
,iimanifestations iiof iivitamin iiD iideficiency. iiThe iikidneys iido iinot iiplay iia iirole iiin iithe
iitransportation iiof iired iiblood iicells iior iiany iiother iicells iiin iithe iiblood. ii
ii
A iinurse iicontacts iithe iihealth iicare iiprovider iiafter iireviewing iia iiclients iilaboratory iiresults
iiand ii
ii
noting iia iiblood iiurea iinitrogen ii(BUN) iiof ii35 iimg/dL iiand iia iicreatinine iiof ii1.0 iimg/dL.
iiFor
ii
which iiaction iishould iithe iinurse iirecommend iia
iiprescription?
ii
a. Intravenous iifluids ii
ii
b. Hemodialysis ii
ii
c. Fluid iirestriction ii
ii
d. Urine iiculture iiand iisensitivity ii- iiANS: iiA ii
Normal iiBUN iiis ii10 iito ii20 iimg/dL. iiNormal iicreatinine iiis ii0.6 iito ii1.2 iimg/dL ii(males) iior
ii0.5 iito ii
1.1 iimg/dL ii(females). iiCreatinine iiis iimore iispecific iifor iikidney iifunction iithan iiBUN,
iibecause iiBUN iican iibe iiaffected iiby iiseveral iifactors ii(dehydration, iihigh-protein iidiet, iiand
iicatabolism). iiThis iiclients iicreatinine iiis iinormal, iiwhich iisuggests iia iinon-renal iicause iifor
iithe iielevated iiBUN. iiA iicommon iicause iiof iiincreased iiBUN iiis iidehydration, iiso iithe iinurse
iishould iianticipate iigiving iithe iiclient iimore iifluids, iinot iiplacing iithe iiclient iion iifluid
iirestrictions. iiHemodialysis iiis iinot iian iiappropriate iitreatment iifor iidehydration. iiThe iilab
iiresults iido iinot iiindicate iian iiinfection; iitherefore, iia iiurine iiculture iiand iisensitivity iiis iinot
iiappropriate. ii
ii
A iinurse iicares iifor iia iiclient iiwith iian iiincreased iiblood iiurea iinitrogen ii(BUN)/creatinine
iiratio. ii
ii
Which iiaction iishould iithe iinurse iitake
iifirst?
ii
a. Assess iithe iiclients iidietary iihabits. ii
ii
b. Inquire iiabout iithe iiuse iiof iinonsteroidal iianti-inflammatory iidrugs ii(NSAIDs). ii
ii
c. Hold iithe iiclients iimetformin ii(Glucophage). ii
ii
d. Contact iithe iihealth iicare iiprovider iiimmediately. ii- iiANS: iiA ii
An iielevated iiBUN/creatinine iiratio iiis iioften iiindicative iiof iidehydration, iiurinary
iiobstruction, iicatabolism, iior iia iihigh- iiprotein iidiet. iiThe iinurse iishould iiinquire iiabout iithe
iiclients iidietary iihabits. iiKidney iidamage iirelated iito iiNSAID iiuse iimost iilikely iiwould
iimanifest iiwith iielevations iiin iiboth iiBUN iiand iicreatinine, iibut iino iichange iiin iithe iiratio.
iiThe iinurse iishould iiobtain iimore iiassessment iidata iibefore iiholding iiany iimedications iior
iicontacting iithe iiprovider. ii
ii
A iinurse iicares iifor iia iiclient iiwith iia iiurine iispecific iigravity iiof ii1.040. iiWhich iiaction iishould
iithe ii
, ii
nurse
iitake? ii
ii
a. Obtain iia iiurine iiculture iiand iisensitivity. ii
ii
b. Place iithe iiclient iion iirestricted iifluids. ii
ii
c. Assess iithe iiclients iicreatinine iilevel. ii
ii
d. Increase iithe iiclients iifluid iiintake. ii- iiANS: iiD ii
Normal iispecific iigravity iifor iiurine iiis ii1.005 iito ii1.030. iiA iihigh iispecific iigravity iican iioccur
iiwith iidehydration, iidecreased iikidney iiblood iiflow ii(often iibecause iiof iidehydration), iiand
iithe iipresence iiof iiantidiuretic iihormone. iiIncreasing iithe iiclients iifluid iiintake iiwould iibe iia
iibeneficial iiintervention. iiAssessing iithe iicreatinine iior iiobtaining iia iiurine iiculture iiwould
iinot iiprovide iidata iinecessary iifor iithe iinurse iito iimake iia iiclinical iidecision. ii
ii
A iinurse iireviews iilaboratory iiresults iifor iia iiclient iiwho iiwas iiadmitted iifor iia iimyocardial
iiinfarction iiand iicardiogenic iishock ii2 iidays iiago. iiWhich iilaboratory iitest iiresult iishould iithe
iinurse iiexpect iito iifind? ii
ii
a. Blood iiurea iinitrogen ii(BUN) iiof ii52 iimg/dL ii
b. Creatinine iiof ii2.3 iimg/dL ii
ii
c. BUN iiof ii10 iimg/dL ii
ii
d. BUN/creatinine iiratio iiof ii8:1 ii- iiANS: iiA ii
Shock iileads iito iidecreased iirenal iiperfusion. iiAn iielevated iiBUN iiaccompanies iithis
iicondition. iiThe iicreatinine iishould iibe iinormal iibecause iino iikidney iidamage iioccurred. iiA
iilow iiBUN iisignifies iioverhydration, iimalnutrition, iior iiliver iidamage. iiA iilow iiBUN/creatinine
iiratio iiindicates iifluid iivolume iiexcess iior iiacute iirenal iitubular iiacidosis. ii
ii
A iinurse iicares iifor iia iiclient iiwith iia iiurine iispecific iigravity iiof ii1.018. iiWhich iiaction iishould
iithe ii
ii
nurse
iitake? ii
ii
a. Evaluate iithe iiclients iiintake iiand iioutput iifor iithe iipast ii24 iihours. ii
ii
b. Document iithe iifinding iiin iithe iichart iiand iicontinue iito iimonitor. ii
ii
c. Obtain iia iispecimen iifor iia iiurine iiculture iiand iisensitivity. ii
ii
d. Encourage iithe iiclient iito iidrink iimore iifluids, iiespecially iiwater. ii- iiANS: iiB ii
This iispecific iigravity iiis iiwithin iithe iinormal iirange iifor iiurine. iiThere iiis iino iineed iito
iievaluate iithe iiclients iiintake iiand iioutput, iiobtain iia iiurine iispecimen, iior iiincrease iifluid
iiintake. ii
ii
A iinurse iicares iifor iia iiclient iiwho iihas iielevated iilevels iiof iiantidiuretic iihormone ii(ADH).
iiWhich ii
ii
disorder iishould iithe iinurse iiidentify iias iia iitrigger iifor iithe iirelease iiof iithis
iihormone?
ii ii ii ii ii ii
Complete Exam Questions With Detailed Verified
ii ii ii ii ii ii
Answers (100% Correct Answers) /Already Graded
ii ii ii ii ii ii
A+
ii
ii
A iinurse iireviews iithe iiurinalysis iiof iia iiclient iiand iinotes iithe iipresence iiof iiglucose.
iiWhich ii
ii
action iishould iithe iinurse
iitake?
ii
a. Document iifindings iiand iicontinue iito iimonitor iithe iiclient. ii
ii
b. Contact iithe iiprovider iiand iirecommend iia ii24-hour iiurine iitest. ii
ii
c. Review iithe iiclients iirecent iidietary iiselections. ii
ii
d. Perform iia iicapillary iiartery iiglucose iiassessment. ii- iiANS: iiD ii
Glucose iinormally iiis iinot iifound iiin iithe iiurine. iiThe iinormal iirenal iithreshold iifor iiglucose iiis
iiabout ii220 iimg/dL, iiwhich iimeans iithat iia iiperson iiwhose iiblood iiglucose iiis iiless iithan ii220
iimg/dL iiwill iinot iihave iiglucose iiin iithe iiurine. iiA iipositive iifinding iifor iiglucose iion iiurinalysis
iiindicates iihigh iiblood iisugar. iiThe iimost iiappropriate iiaction iiwould iibe iito iiperform iia
iicapillary iiartery iiglucose iiassessment. iiThe iiclient iineeds iifurther iievaluation iifor iithis
iiabnormal iiresult; iitherefore, iidocumenting iiand iicontinuing iito iimonitor iiis iinot
iiappropriate. iiRequesting iia ii24hour iiurine iitest iior iireviewing iithe iiclients iidietary
iiselections iiwill iinot iiassist iithe iinurse iito iimake iia iiclinical iidecision iirelated iito iithis
iiabnormality. ii
ii
A iinurse iireviews iithe iihealth iihistory iiof iia iiclient iiwith iian iioversecretion iiof iirenin.
iiWhich ii
ii
disorder iishould iithe iinurse iicorrelate iiwith iithis iiassessment
iifinding?
ii
a. Alzheimers iidisease ii
ii
b. Hypertension ii
ii
c. Diabetes iimellitus ii ii
ii
d. Viral iihepatitis ii- iiANS: iiB ii
Renin iiis iisecreted iiwhen iispecial iicells iiin iithe iidistal iiconvoluted iitubule, iicalled iithe
iimacula iidensa, iisense iichanges iiin iiblood iivolume iiand iipressure. iiWhen iithe iimacula
iidensa iicells iisense iithat iiblood iivolume, iiblood iipressure, iior iiblood iisodium iilevels iiare
iilow, iirenin iiis iisecreted. iiRenin iithen iiconverts iiangiotensinogen iiinto iiangiotensin iiI. iiThis
iileads iito iia iiseries iiof iireactions iithat iicause iisecretion iiof iithe iihormone iialdosterone. iiThis
iihormone iiincreases iikidney iireabsorption iiof iisodium iiand iiwater, iiincreasing iiblood
iipressure, iiblood iivolume, iiand iiblood iisodium iilevels. iiInappropriate iior iiexcessive iirenin
,iisecretion iiis iia iimajor iicause iiof iipersistent iihypertension. iiRenin iihas iino iiimpact iion
iiAlzheimers iidisease, iidiabetes iimellitus, iior iiviral iihepatitis. ii
ii
A iinurse iireviews iithe iiurinalysis iiresults iiof iia iiclient iiand iinotes iia iiurine iiosmolality iiof
ii1200 ii
ii
mOsm/L. iiWhich iiaction iishould iithe iinurse
iitake?
ii
a. Contact iithe iiprovider iiand iirecommend iia iilow-sodium iidiet. ii
b. Prepare iito iiadminister iian iiintravenous iidiuretic. ii
ii
c. Obtain iia iisuction iidevice iiand iiimplement iiseizure iiprecautions. ii ii
ii
d. Encourage iithe iiclient iito iidrink iimore iifluids. ii- iiANS: iiD ii
Normal iiurine iiosmolality iiranges iifrom ii300 iito ii900 iimOsm/L. iiThis iiclients iiurine iiis iimore
iiconcentrated, iiindicating iidehydration. iiThe iinurse iishould iiencourage iithe iiclient iito iidrink
iimore iiwater. iiDehydration iican iibe iiassociated iiwith iielevated iiserum iisodium iilevels.
iiAlthough iia iilow-sodium iidiet iimay iibe iiappropriate iifor iithis iiclient, iithis iidiet iichange iiwill
iinot iihave iia iisignificant iiimpact iion iiurine iiosmolality. iiA iidiuretic iiwould iiincrease iiurine
iioutput iiand iidecrease iiurine iiosmolality iifurther. iiLow iiserum iisodium iilevels, iinot iielevated
iiserum iilevels, iiplace iithe iiclient iiat iirisk iifor iiseizure iiactivity. iiThese iioptions iiwould iifurther
iicontribute iito iithe iiclients iidehydration iior iielevate iithe iiosmolality. ii
ii
A iinurse iiassesses iia iiclient iiwith iirenal iiinsufficiency iiand iia iilow iired iiblood iicell iicount.
iiThe ii
ii
client iiasks, iiIs iimy iianemia iirelated iito iithe iirenal iiinsufficiency? iiHow iishould iithe
iinurse
ii
respond?
ii
a. iiRed iiblood iicells iiproduce iierythropoietin, iiwhich iiincreases iiblood iiflow iito iithe iikidneys.
ii
ii
b. iiYour iianemia iiand iirenal iiinsufficiency iiare iirelated iito iiinadequate iivitamin iiD iiand iia iiloss
iiof ii
ii
bone
iidensity.
ii
c. iiErythropoietin iiis iiusually iireleased iifrom iithe iikidneys iiand iistimulates iired iiblood
iicell ii
ii
production iiin iithe iibone
iimarrow.
ii
d. iiKidney iiinsufficiency iiinhibits iiactive iitransportation iiof iired iiblood iicells iithroughout iithe
iiblood. ii- iiANS: iiC ii
Erythropoietin iiis iiproduced iiin iithe iikidney iiand iiis iireleased iiin iiresponse iito iidecreased
iioxygen iitension iiin iithe iirenal iiblood iisupply. iiErythropoietin iistimulates iired iiblood iicell
iiproduction iiin iithe iibone iimarrow. iiAnemia iiand iirenal iiinsufficiency iiare iinot
,iimanifestations iiof iivitamin iiD iideficiency. iiThe iikidneys iido iinot iiplay iia iirole iiin iithe
iitransportation iiof iired iiblood iicells iior iiany iiother iicells iiin iithe iiblood. ii
ii
A iinurse iicontacts iithe iihealth iicare iiprovider iiafter iireviewing iia iiclients iilaboratory iiresults
iiand ii
ii
noting iia iiblood iiurea iinitrogen ii(BUN) iiof ii35 iimg/dL iiand iia iicreatinine iiof ii1.0 iimg/dL.
iiFor
ii
which iiaction iishould iithe iinurse iirecommend iia
iiprescription?
ii
a. Intravenous iifluids ii
ii
b. Hemodialysis ii
ii
c. Fluid iirestriction ii
ii
d. Urine iiculture iiand iisensitivity ii- iiANS: iiA ii
Normal iiBUN iiis ii10 iito ii20 iimg/dL. iiNormal iicreatinine iiis ii0.6 iito ii1.2 iimg/dL ii(males) iior
ii0.5 iito ii
1.1 iimg/dL ii(females). iiCreatinine iiis iimore iispecific iifor iikidney iifunction iithan iiBUN,
iibecause iiBUN iican iibe iiaffected iiby iiseveral iifactors ii(dehydration, iihigh-protein iidiet, iiand
iicatabolism). iiThis iiclients iicreatinine iiis iinormal, iiwhich iisuggests iia iinon-renal iicause iifor
iithe iielevated iiBUN. iiA iicommon iicause iiof iiincreased iiBUN iiis iidehydration, iiso iithe iinurse
iishould iianticipate iigiving iithe iiclient iimore iifluids, iinot iiplacing iithe iiclient iion iifluid
iirestrictions. iiHemodialysis iiis iinot iian iiappropriate iitreatment iifor iidehydration. iiThe iilab
iiresults iido iinot iiindicate iian iiinfection; iitherefore, iia iiurine iiculture iiand iisensitivity iiis iinot
iiappropriate. ii
ii
A iinurse iicares iifor iia iiclient iiwith iian iiincreased iiblood iiurea iinitrogen ii(BUN)/creatinine
iiratio. ii
ii
Which iiaction iishould iithe iinurse iitake
iifirst?
ii
a. Assess iithe iiclients iidietary iihabits. ii
ii
b. Inquire iiabout iithe iiuse iiof iinonsteroidal iianti-inflammatory iidrugs ii(NSAIDs). ii
ii
c. Hold iithe iiclients iimetformin ii(Glucophage). ii
ii
d. Contact iithe iihealth iicare iiprovider iiimmediately. ii- iiANS: iiA ii
An iielevated iiBUN/creatinine iiratio iiis iioften iiindicative iiof iidehydration, iiurinary
iiobstruction, iicatabolism, iior iia iihigh- iiprotein iidiet. iiThe iinurse iishould iiinquire iiabout iithe
iiclients iidietary iihabits. iiKidney iidamage iirelated iito iiNSAID iiuse iimost iilikely iiwould
iimanifest iiwith iielevations iiin iiboth iiBUN iiand iicreatinine, iibut iino iichange iiin iithe iiratio.
iiThe iinurse iishould iiobtain iimore iiassessment iidata iibefore iiholding iiany iimedications iior
iicontacting iithe iiprovider. ii
ii
A iinurse iicares iifor iia iiclient iiwith iia iiurine iispecific iigravity iiof ii1.040. iiWhich iiaction iishould
iithe ii
, ii
nurse
iitake? ii
ii
a. Obtain iia iiurine iiculture iiand iisensitivity. ii
ii
b. Place iithe iiclient iion iirestricted iifluids. ii
ii
c. Assess iithe iiclients iicreatinine iilevel. ii
ii
d. Increase iithe iiclients iifluid iiintake. ii- iiANS: iiD ii
Normal iispecific iigravity iifor iiurine iiis ii1.005 iito ii1.030. iiA iihigh iispecific iigravity iican iioccur
iiwith iidehydration, iidecreased iikidney iiblood iiflow ii(often iibecause iiof iidehydration), iiand
iithe iipresence iiof iiantidiuretic iihormone. iiIncreasing iithe iiclients iifluid iiintake iiwould iibe iia
iibeneficial iiintervention. iiAssessing iithe iicreatinine iior iiobtaining iia iiurine iiculture iiwould
iinot iiprovide iidata iinecessary iifor iithe iinurse iito iimake iia iiclinical iidecision. ii
ii
A iinurse iireviews iilaboratory iiresults iifor iia iiclient iiwho iiwas iiadmitted iifor iia iimyocardial
iiinfarction iiand iicardiogenic iishock ii2 iidays iiago. iiWhich iilaboratory iitest iiresult iishould iithe
iinurse iiexpect iito iifind? ii
ii
a. Blood iiurea iinitrogen ii(BUN) iiof ii52 iimg/dL ii
b. Creatinine iiof ii2.3 iimg/dL ii
ii
c. BUN iiof ii10 iimg/dL ii
ii
d. BUN/creatinine iiratio iiof ii8:1 ii- iiANS: iiA ii
Shock iileads iito iidecreased iirenal iiperfusion. iiAn iielevated iiBUN iiaccompanies iithis
iicondition. iiThe iicreatinine iishould iibe iinormal iibecause iino iikidney iidamage iioccurred. iiA
iilow iiBUN iisignifies iioverhydration, iimalnutrition, iior iiliver iidamage. iiA iilow iiBUN/creatinine
iiratio iiindicates iifluid iivolume iiexcess iior iiacute iirenal iitubular iiacidosis. ii
ii
A iinurse iicares iifor iia iiclient iiwith iia iiurine iispecific iigravity iiof ii1.018. iiWhich iiaction iishould
iithe ii
ii
nurse
iitake? ii
ii
a. Evaluate iithe iiclients iiintake iiand iioutput iifor iithe iipast ii24 iihours. ii
ii
b. Document iithe iifinding iiin iithe iichart iiand iicontinue iito iimonitor. ii
ii
c. Obtain iia iispecimen iifor iia iiurine iiculture iiand iisensitivity. ii
ii
d. Encourage iithe iiclient iito iidrink iimore iifluids, iiespecially iiwater. ii- iiANS: iiB ii
This iispecific iigravity iiis iiwithin iithe iinormal iirange iifor iiurine. iiThere iiis iino iineed iito
iievaluate iithe iiclients iiintake iiand iioutput, iiobtain iia iiurine iispecimen, iior iiincrease iifluid
iiintake. ii
ii
A iinurse iicares iifor iia iiclient iiwho iihas iielevated iilevels iiof iiantidiuretic iihormone ii(ADH).
iiWhich ii
ii
disorder iishould iithe iinurse iiidentify iias iia iitrigger iifor iithe iirelease iiof iithis
iihormone?
