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
Metrorrhagia refers to irregular, often heavy menstrual bleeding that occurs at irregular intervals.
Choice B rationale
Hypomenorrhea refers to unusually light menstrual bleeding.
Choice C rationale
Polymenorhagia refers to frequent, but not necessarily heavy, menstrual periods.
Choice D rationale
Amenorrhea is the absence or suppression of menstruation in which a woman experiences three or more missed menses.
Correct Answer is A
Explanation
Choice A rationale
Hypertension is a common cause of chronic kidney disease. High blood pressure can damage blood vessels in the kidneys, impairing their ability to work properly.
Choice B rationale
Chronic pyelonephritis, a type of urinary tract infection that reaches the kidneys, can lead to chronic kidney disease, but it’s not as common a cause as hypertension.
Choice C rationale
Glomerulonephritis, an inflammation of the tiny filters in your kidneys (glomeruli), can lead to chronic kidney disease, but it’s not as common a cause as hypertension.
Choice D rationale
Polycystic kidney disease, a genetic disorder that causes numerous cysts to grow in the kidneys, can lead to chronic kidney disease, but it’s not as common a cause as hypertension.
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