Author Question: A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should ... (Read 41 times)

ARLKQ · **on:** Jun 25, 2018

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 client's recent dietary selections.
d. Perform a capillary artery glucose assessment.

Question 2

A nurse provides diabetic education at a public health fair. Which disorders should the nurse include as complications of diabetes mellitus? (Select all that apply.)

a. Stroke
b. Kidney failure
c. Blindness
d. Respiratory failure
e. Cirrhosis

akudia · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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 client's dietary selections will not assist the nurse to make a clinical decision related to this abnormality.

Answer to Question 2

ANS: A, B, C
Complications of diabetes mellitus are caused by macrovascular and microvascular changes. Macrovascular complications include coronary artery disease, cerebrovascular disease, and peripheral vascular disease. Microvascular complications include nephropathy, retinopathy, and neuropathy. Respiratory failure and cirrhosis are not complications of diabetes mellitus.