A patient with type I diabetes mellitus has urine that is cloudy ...

[cmoore54]

A patient with type I diabetes mellitus has urine that is cloudy and foul-smelling. Which diagnostic test should the nurse anticipate being prescribed for this patient?
 
  1. urine culture
  2. blood urea nitrogen (BUN)
  3. creatinine clearance
  4. residual urine

Question 2

A patient recovering from Whipple's procedure is being transferred to the medicalsurgical care area. On which interventions should the nurse focus to determine if the patient is developing a complication from the surgery?
 
  Select all that apply.
 
  1. assessing heart rate every 2 hours
  2. monitoring urine output ever hour
  3. turning and repositioning every 2 hours
  4. measuring blood pressure every 2 hours
  5. assisting to a standing position every 4 hours

[shoemake]

Answer to Question 1

Correct Answer: 1
The patient's manifestations indicate a urinary tract infection. A urine culture is conducted to identify the causative organism of a UTI. Blood urea nitrogen (BUN) measures the amount of urea (end product of protein metabolism) in the blood plasma. It does not identify infection. Creatinine clearance is a 24-hour urine test used to identify renal function; it will not identify an infection. Residual urine measures the amount of urine left in the bladder after voiding and does not identify an infection.

Answer to Question 2

Correct Answer: 1, 2, 4
The major complications following Whipple's procedure are hemorrhage, bile leak, hypovolemic shock, and hepatorenal failure. The nurse should measure blood pressure and heart rate every 2 hours. Urine output should be measured. Turning and repositioning and assisting the patient to a standing position will not help prevent complications from this procedure.

[cmoore54]

Excellent

[lkanara2]

TYSM