ua - urine analysis

1. Blood Urea Nitrogen level of 192. Blood glucose of 1553. Creatinine level of 1.94. White blood cell count of 14,500

Common NCLEX Question

UA - Urine Analysis

Color Light = Hydrated Darker = Dehydrated * (Unless on diuretics or in SIADH or DI)

Specific Gravity 1.003 - 1.030 Low Gravity 1.003 = Liquidy body High Gravity 1.030 = Dry body

RBC “blood” (hematuria) Cause: Kidney stones, bladder cancer, post operative TURP.

WBC ‘’Leukocytes’’ Cause: infection (UTI)

Nitrites - Kidney infection “pyelonephritis” Memory trick: Look for the “N” - N - Nitrites - N - pyeloNephritis

Urine Culture & Sensitivity Culture: which bacteria is causing the infection Sensitivity: which antibiotic is the bacteria sensitive to, in order to kill it Over 10,000 organisms/ml indicates a UTI.

Protein HIGH = Nephrotic Syndrome - Nasty protein loss

Glucose HIGH = Diabetes

kidNeypyeloNephritis

MODERATE

LOW

GLUCOSE

LEVEL

Diabetes

Spec. Gravity: 1.030

Protein: None

Glucose: High

Red blood cells: None

Leukocytes: Medium

Exhibit

Close

Client with history of diabetes… which does the nurse suspect?

Dehydration (low fluid intake) & possible UTI.

KAPLAN QuestionProcedure for collecting a sterile urine specimen from a foley bag?

Answer:1. Clamp drainage tube below port2. Wait 15-30 minutes3. Scrub the port using an antiseptic swab4. Attach a sterile, needleless access

device to aspirate a specimen via the port.

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