Page 1868 - Saunders Comprehensive Review For NCLEX-RN

5. Prepare the client for insertion of a suprapubic
catheter to aid in urinary drainage if prescribed.
6. Prepare the client for surgical repair of the laceration if
indicated.

Box 54-1

Risk Factors Associated with Renal Problems

▪ Chemical or environmental toxin exposure
▪ Contact sports
▪ Diabetes mellitus
▪ Family history of renal disease
▪ Frequent urinary tract infections
▪ Heart failure
▪ High-sodium diet
▪ Hypertension
▪ Medications

▪ Polycystic kidney disease
▪ Trauma
▪ Urolithiasis or nephrolithiasis

Box 54-2

Normal Renal Function Values

▪ Blood urea nitrogen (BUN) level, 10 to 20 mg/dL (3.6 to 7.1 mmol/L)

▪ Serum creatinine level, 0.6 to 1.2 mg/dL (53 to 106 mcmol/L) for males and 0.5 to
1.1 mg/dL (44 to 97 mcmol/L) for females
▪ BUN/creatinine ratio, 6 to 25

Table 54-1

Normal Urinalysis Values

Color Amber yellow
Odor Specific aromatic odor, similar to ammonia
pH 4.0-8.0 (4.0-8.0)
Osmolality 300-1300 mOsm/kg (300-1300 mmol/kg)
Specific gravity 1.003-1.030
Glucose Negative
Ketones Negative
Protein Negative
Bilirubin Negative
Casts Negative
Bacteria None or < 1000/mL

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