Urinalysis and Body Fluids 6th Edition by Majorie DiLorenzo, Susan Strasinger

Exercise 60

The most significant reagent strip test that is associated with a positive ketone result is:

A. Glucose

B. Protein

C. pH

D. Specific gravity

Step 1 of 2

Glucose:

• Glucose is important carbohydrate which is monosaccharide.

Ketonuria:

Ketonuria is the presence of ketone bodies in urine.

• When body produces excess ketones it is the indication that body is using a substitute source of energy.

Causes for ketonuria:

• Diabetes mellitus (Type 1) when insulin secretion is low and in starvation, ketonuria is seen.

• Lack of carbohydrate metabolism leads to increased loss of carbohydrate through vomiting.

• Insufficient intake of carbohydrate which cause by malabsorption or starvation.

• Increase of ketone in blood causes dehydration, electrolyte imbalance and if not treated diabetic acidosis will result.

Positive glucose reagent strip test is an indication of negative ketone result as well as negative glucose reagent strip test is an indication of positive ketone result.

Therefore, “glucose” reagent strip, the most significant associated with positive ketone result.Hence, the correct answer is option.