93. A 32 years old female client complained painful urination, flank pain , low back pain, nausea and vomiting. The nurse is aware that the following laboratory values supports a diagnosis of pyelonephritis? A. Low WBC count C. Ketonuria B. Myoglobinuria D. Pyuria 94. The nurse is reviewing the report of a client's routine urinalysis. Which value should the nurse consider abnormal? A. Specific gravity of 1.025 C. Absence of protein B. Urine PH of 3.0 D. Absence of glucose 95. A patient who has been diagnosed with benign prostatic hyperplasia is being treated with 5 alpha reductase inhibitors . Which of the following is the side effect of 5 alpha reductase inhibitor? A. Ejaculatory dysfunction C. Fatigue B. Postural hypotension D. Dizziness, and headache 96. A 35 years old female patient with chronic renal failure is admitted in the hospital for treatment. The nurse who is caring for the patient knows that this disorder increases the client's risk of: A. A decreased serum phosphate level secondary to kidney failure B. An increased serum calcium level secondary to kidney failure C. Water and sodium retention secondary to a severe decrease in the GFR D. Metabolic alkalosis secondary to retention of hydrogen ions due to CRF

93. The correct answer is D. Pyuria. Pyelonephritis is a type of urinary tract infection that affects the kidneys. It is often caused by bacteria that have traveled from the bladder to the kidneys. Pyuria, which is the presence of pus in the urine, is a common laboratory finding in patients with pyelonephritis. Other symptoms and laboratory findings that support the diagnosis of pyelonephritis include fever, flank pain, and an elevated white blood cell (WBC) count.<br /><br />94. The correct answer is B. Urine PH of 3.0. The normal pH range for urine is 4.5 to 8.0. A urine pH of 3.0 is considered abnormal and may indicate an acidic urine, which can be caused by certain medical conditions or medications. The other values listed (specific gravity of 1.025, absence of protein, and absence of glucose) are all considered normal findings in a routine urinalysis.<br /><br />95. The correct answer is A. Ejaculatory dysfunction. 5 alpha reductase inhibitors are a class of medications commonly used to treat benign prostatic hyperplasia (BPH). They work by blocking the conversion of testosterone to dihydrotestosterone, which can help reduce the size of the enlarged prostate. Common side effects of 5 alpha reductase inhibitors include ejaculatory dysfunction, decreased libido, and decreased semen volume. Fatigue, postural hypotension, and dizziness are not typically associated with this class of medications.<br /><br />96. The correct answer is C. Water and sodium retention secondary to a severe decrease in the GFR. Chronic renal failure, also known as chronic kidney disease (CKD), is a condition in which the kidneys lose their ability to filter waste products from the blood effectively. This can lead to a buildup of waste products in the body and can also cause water and sodium retention, leading to fluid overload and edema. The other options listed (decreased serum phosphate level, increased serum calcium level, and metabolic alkalosis) are not typically associated with CKD.