The patient has a routine urinalysis done, and the results show ...

[Kthamas]

The patient has a routine urinalysis done, and the results show protein in the urine. What does the nurse correctly conclude about this result?
 
  1. The patient is in acute renal failure, and needs to be hospitalized.
  2. The patient probably has kidney damage; protein should not be present in the urine.
  3. There could be a mistake with the results; the patient should have another test done.
  4. The results probably mean nothing if the amount of protein is very small.

Question 2

The nurse is managing care for a group of patients on a renal failure unit. What does the nurse recognize as the most important patient safety precaution with regard to medication administration?
 
  1. Know that patients will require less-than-average doses of medications.
  2. Know which drugs will increase fluid retention.
  3. Ensure that each patient's intake and output is measured precisely.
  4. Be aware of what drugs are nephrotoxic.

[Cnarkel]

Answer to Question 1

Correct Answer: 2
Rationale: When filtrate passes through Bowman's capsule, its composition is similar to plasma. Plasma proteins are too large to pass through the filter, and if they appear in the filtrate or urine, this indicates kidney pathology. There is no evidence to support a mistake with the results of the urinalysis. Any amount of protein in the kidney is considered abnormal. There is no evidence that this patient is in acute renal failure.

Answer to Question 2

Correct Answer: 1
Rationale: Administering the average dose of medication to a patient in severe renal failure can have mortal consequences. The consequences of recognizing that renal patients will require less-than-average doses of medications cannot be overemphasized. Recognizing which drugs are nephrotoxic is important, but not as important as knowing that patients will need less-than-average doses. Ensuring that each patient's intake and output is measured precisely is important, but not as important as knowing that patients will need less-than-average doses. Knowing which drugs will increase fluid retention is important, but not as important as knowing that patients will need less-than-average doses.

[Kthamas]

Thank you!

[Cnarkel]

Always glad to help...