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    Ati med surg proctored exam

    Which information from a patient's urinalysis requires that the nurse notify the health care provider?

    Explanation & Rationale

    A. Decreased pH: A lower urine pH can result from diet, such as high-protein intake, or metabolic conditions like acidosis. While it is important to note, a mildly acidic urine pH is not usually urgent and does not require immediate notification of the healthcare provider. B. Increased protein: Proteinuria is a significant finding because it indicates possible glomerular damage or kidney disease. Persistent protein loss in the urine can contribute to nephrotic syndrome, fluid imbalance, and long-term renal impairment, making it a priority to report promptly. C. Increased WBC: An elevated white blood cell count in urine suggests infection, such as a urinary tract infection. While important, this requires follow-up with a urine culture and treatment but is not as urgent as proteinuria, which may indicate progressive renal damage. D. Increased specific gravity: A higher specific gravity usually reflects concentrated urine from dehydration or reduced fluid intake. This finding is generally reversible with hydration and does not necessarily indicate a pathologic renal condition requiring immediate provider notification.

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