A client has a urine specific gravity level of 1.034. The nurse determines that which causes or conditions can be related to this level? Select all that apply. 1. Glycosuria 2.Albuminuria 3.Dehydration 4. Diabetes insipidus 5. High creatinine level 6. Increased blood urea nitrogen ( BUN)
Answer
A urinary specific gravity measurement is a routine part of urinalysis and the reference range is 1.005-1.030.
An increase may be caused by:
1. Glycosuria
3.Dehydration
Explanation
Generally, this condition, hypersthenuria which is increased concentration of solutes in the urine may be associated with dehydration, diarrhea, emesis, excessive sweating, urinary tract/bladder infection, glucosuria among others. This is because a heavy presence of glucose in the urine alters the specific gravity of it which is by increasing its value by 0.010 units due to the amount of glucose present in it.
Additionally, an absence or decrease of anti-diuretic hormone in diabetes insipidus, cause a decrease in urine specific gravity and not increase.
