Chapter 60: Assessment of the
Renal/Urinary System Study Guide
Questions With Answers
1. A nurse reviews the urinalysis of a client and notes the presence of glucose. What
action
would the nurse take?
a. Document findings and continue to monitor the client.
b. Contact the primary health care provider and recommend a 24-hour urine test.
c. Review the client9s recent dietary selections over 3 days.
d. Perform a finger stick blood glucose assessment. - correct answers ANS: D
Glucose normally is not found in the urine. The normal renal threshold for glucose is
about
220 mg/dL (12.2 mmol/L), which means that a person whose blood glucose is less
than 220
mg/dL (12.2 mmol/L) will not have glucose in the urine. A positive finding for
glucose on
urinalysis indicates high blood sugar. The most appropriate action would be to
perform a
blood glucose assessment. The client needs further evaluation for this abnormal
result;
therefore, documenting and continuing to monitor are not appropriate. Requesting a
24-hour
urine test or reviewing the client9s dietary selections will not assist the nurse to
make a
clinical decision related to this abnormality.
2. A nurse reviews the health history of a client with an oversecretion of renin.
Which disorder
would the nurse correlate with this assessment finding?
a. Alzheimer disease
