Medical Surgical Renal Lab values & Urine analysis #2

Question

A client comes to the clinic to get a urinalysis due to a possible urinary tract infection. If found in the urinalysis, which of these would indicate that the urinalysis was abnormal? Select all that apply.

Answers

  1. Bacteria 3+
    • Rationale:

      This answer is correct because bacteria 3+ in a urinalysis result is abnormal and would indicate the client probably has an infection. When a client has a urinary tract infection (UTI), the urine abnormalities may include bacteria, ketones, glucose, nitrites, red blood cells, and dark tea-colored urine.

  2. Color: straw
    • Rationale:

      This answer is not correct because straw urine would be the result of a normal urinalysis test. Normal findings of a urinalysis should be straw colored urine, an acidic ph (an alkaline ph may indicate infection), free of bacteria, nitrites, red blood cells, ketones, and glucose.

  3. Nitrites 0
    • Rationale:

      This answer is not correct because 0 nitrites would be the result of a normal urinalysis test. Normal findings of a urinalysis should be straw colored urine, an acidic ph (an alkaline ph may indicate infection), free of bacteria, nitrites, red blood cells, ketones, and glucose.

  4. Red blood cells 5+
    • Rationale:

      This answer is correct because red blood cells 5+ would indicate an abnormal urinalysis test. Normal findings of a urinalysis should be straw colored urine, an acidic ph (an alkaline ph may indicate infection), free of bacteria, nitrites, red blood cells, ketones, and glucose.

  5. Color: dark tea-colored
    • Rationale:

      This answer is correct because dark tea-colored urine is an abnormal finding in a urinalysis test. Normal findings of a urinalysis should be straw colored urine, an acidic ph (an alkaline ph may indicate infection), free of bacteria, nitrites, red blood cells, ketones, and glucose.

Overview

When a client has a urinary tract infection (UTI), the urine abnormalities may include bacteria, ketones, glucose, nitrites, red blood cells, and dark tea-colored urine. A normal urinalysis should have a straw color, an acidic ph, and be free of bacteria, nitrites, red blood cells, and ketones.

Explanation

Learning Outcomes

Normal findings of a urinalysis should be straw colored urine, an acidic ph (an alkaline ph may indicate infection), free of bacteria, nitrites, red blood cells, ketones, and glucose. Indications of a UTI taken from a urinalysis test can result with increased white blood cells, increased red blood cells, leukocyte esterase would be positive, bacteria would be seen, and the urine ph would probably be more alkaline. It is also important to always teach your female clients to wipe front to back to avoid bringing stool to the urethral area. Many UTI’s begin from improperly wiping back to front.

Test Taking Tip

An important tip to remember in relation to a urinary tract infection is to always teach your female clients to wipe front to back to avoid bringing stool to the urethral area. Many UTI’s begin from improperly wiping back to front.

Video Rationale