Author Question: The nurse is reviewing results of a routine urinalysis that indicate the presence of protein in the ... (Read 38 times)

yoooooman · **on:** Jul 23, 2018

The nurse is reviewing results of a routine urinalysis that indicate the presence of protein in the urine. How does the nurse interpret this finding?

1. The client probably has kidney damage.
2. The results are probably insignificant if the amount of protein is very small.
3. There is likely a mistake with the results, and the client should have another test done.
4. The client is in acute renal failure, and should be hospitalized.

Question 2

The formation of urine begins at which structure?

1. Glomerulus
2. Ureter
3. Collecting duct
4. Henle's loop

yifu223 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Protein is always an abnormal finding on urinalysis; it indicates damage to the glomerular membrane.
Rationale 2: Any amount of protein in the urine is a sign of kidney damage.
Rationale 3: There is no evidence to support an error in the urinalysis.
Rationale 4: There are multiple criteria that must be met for a diagnosis of renal failure, and no evidence of these is presented.
Global Rationale: Protein is always an abnormal finding on urinalysis; it indicates damage to the glomerular membrane. Any amount of protein in the urine is a sign of kidney damage. There is no evidence to support an error in the urinalysis. There are multiple criteria that must be met for a diagnosis of renal failure, and no evidence of these is presented.

Answer to Question 2

Correct Answer: 1
Rationale 1: The glomerulus is the site where filtration and production of urine begin.
Rationale 2: The processes of filtration and urine production do not begin in the ureter.
Rationale 3: Fluid leaving the collecting duct is urine.
Rationale 4: Reabsorption and secretion take place along the length of Henle's loop.
Global Rationale: The glomerulus is the site where filtration and production of urine begin. The processes of filtration and urine production do not begin in the ureter. Fluid leaving the collecting duct is urine. Reabsorption and secretion take place along the length of Henle's loop.