Author Question: When performing a dipstick test on a patient's urine sample, a positive leukocyte esterase and ... (Read 75 times)

Anajune7 · **on:** Jun 25, 2018

When performing a dipstick test on a patient's urine sample, a positive leukocyte esterase and nitrite is indicative of:

A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor

Question 2

Your patient is a 33-year-old female gave birth last week. She complains of constipation, rectal pain, and itching. She reports bright red blood on the toilet tissue. The clinician should recognize the need for:

A. Digital rectal exam
B. CEA blood test
C. Colonoscopy
D. Fecal occult blood test

frejo · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
With urinary tract infection, urine dipstick will show positive leukocyte esterase, positive nitrite, and greater than 3 to 5 white blood cells per high-power field.

Answer to Question 2

ANS: A
The most common cause of lower GI bleeding is hemorrhoids. The bleeding associated with hemorrhoids is usually evident as red blood on the formed stool, in the toilet bowl, or on the toilet tissue following a bowel movement. Patients with hemorrhoids often complain of rectal discomfort as well as the contributing factors for hemorrhoid development, including constipation. Inspect the perianal rectal tissue. Anoscopy may be indicated. Perform a digital rectal examination to assess internal haemorrhoids.