Nokea
A nurse is caring for a 73-year-old patient with a renal dysfunction. When reviewing laboratory results for urethral obstruction related to prostatic enlargement. this patient, the nurse interprets the presence of which When planning this patients care, the nurse should be substances in the urine as most suggestive of aware of the consequent risk of what complication?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection. In patients with urethral obstruction, the presence of substances in the urine such as bacteria, leukocytes, and nitrites indicates a high likelihood of urinary tract infection. The obstruction can lead to stasis of urine, providing an ideal environment for bacterial growth. This increases the risk of infection spreading to the kidneys, causing pyelonephritis or sepsis. Therefore, the nurse should be vigilant in monitoring for signs of infection and promptly initiate appropriate treatment to prevent complications.
Summary:
B: Potassium and sodium - While electrolyte imbalance can occur in renal dysfunction, it is not directly related to urethral obstruction or suggestive of a urinary tract infection.
C: Enuresis - Enuresis refers to involuntary urination, which is not directly related to the presence of substances in the urine or indicative of urinary tract infection.
D: Bicarbonate and urea - While these substances are relevant in assessing renal function, their