A 60-year-old male presents to the emergency department with reports of difficulty urinating and maintaining a urine stream during the day.
At night, he reports experiencing bouts of incontinence.
Based on the symptoms and history, which of the following conditions does the nurse suspect?
Interstitial cystitis
Chronic kidney disease
Benign prostatic hypertrophy
Urethritis
The Correct Answer is C
Choice A rationale
Interstitial cystitis, also known as painful bladder syndrome, primarily causes chronic pain in the bladder and pelvis area.
Choice B rationale
Chronic kidney disease primarily affects the kidneys and does not directly cause urinary symptoms.
Choice C rationale
Benign prostatic hypertrophy, or an enlarged prostate, is a common cause of urinary problems in older men, including difficulty urinating and maintaining a urine stream, and experiencing bouts of incontinence.
Choice D rationale
Urethritis is inflammation of the urethra that causes pain and discomfort during urination, not difficulty maintaining a urine stream or incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
An insufficient amount of triiodothyronine (T3) and thyroxine (T4) would lead to hypothyroidism, not Addison’s disease.
Choice B rationale
Decreased levels of all the adrenocortical hormones could lead to various symptoms, but the most severe manifestations of Addison’s disease are specifically caused by an insufficient amount of circulating cortisol.
Choice C rationale
Deficiencies in the renin-angiotensin system could affect blood pressure regulation, but they would not cause the most severe manifestations of Addison’s disease.
Choice D rationale
An insufficient amount of circulating cortisol is indeed what causes the most severe manifestations of Addison’s disease. Cortisol is a hormone that helps your body respond to stress, including the stress of illness, injury or surgery. It also helps maintain your blood pressure, heart function, immune system and blood glucose (sugar) levels.
Correct Answer is C
Explanation
Choice A rationale
Right lower quadrant pain is not typically associated with gallstones obstructing the bile duct14.
Choice B rationale
Gastritis, an inflammation of the stomach lining, is not a symptom of gallstones obstructing the bile duct14.
Choice C rationale
Severe right upper quadrant pain is a symptom that a nurse would expect to see in a client with gallstones obstructing the bile duct14.
Choice D rationale
Intrahepatic jaundice is not typically associated with gallstones obstructing the bile duct14.
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