When collecting a urinary health history, the nurse should ask ...

[tsand2]

When collecting a urinary health history, the nurse should ask the client to describe the odor of the urine because:
 
  1. this can indicate kidney stones.
  2. normal urine odor indicates the kidneys are healthy.
  3. foul-smelling urine can indicate pus in the urine.
  4. the odor determines the area of alteration.

Question 2

The nurse is assessing a client who has low production of erythropoietin in the kidneys. The nurse should perform a thorough focused assessment as a priority of:
 
  1. the client's respiratory system.
  2. the skin.
  3. the neurological system.
  4. the gastrointestinal system.

[bookworm410]

Answer to Question 1

Answer: 3

1. Kidney stones have no effect on urine odor.
2. The client can have normal urine odor and still have malfunctioning kidneys.
3. Foul odor in the urine can indicate pus, which is a sign of an infection somewhere in the urinary system.
4. The odor cannot pinpoint the area of the urinary tract that is infected.

Answer to Question 2

Answer: 1

1. Erythropoietin is produced in the kidneys, and plays a role in the formation of red blood cells. The client with anemia (low red blood cells) will have a decreased ability to oxygenate the blood. Assessment of the respiratory system for this client becomes a priority.
2. The skin is not affected directly by a low erythropoietin.
3. The neurological system, like all systems, would be affected by low erythropoietin due to decreased oxygen levels. The respiratory system is the first assessment priority.
4. The gastrointestinal system is not the priority assessment.