QUESTION: "A multiparous client thought to be at 14 weeks' gestation based on uterine size visits the prenatal clinic complaining of such severe morning sickness that "she has not been able to keep anything down for a week." Owing to the client's excessive vomiting, the nurse assesses the client's urinalysis results for which of the following?"
CHOICES
( X ) a.) White blood cells.
( X ) b.) Albumin.
( X ) c.) Glucose.
( O ) d.) Acetone.
RATIONALE: When a client isn't able to eat, the intake of carbohydrates is dramatically reduced, causing fat to be burned for energy. Improper fat metabolism results in acetone in the urine from the starvation this client is experiencing. Presence of white blood cells in the urine would suggest a possible urinary tract infection. Albumin in the urine is associated with kidney or heart disease. Glucose in the urine is associated with diabetes mellitus. NURSING PROCESS STEP: Assessment CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
