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 A
Explanation
Choice A rationale
Modifiable risk factors for nephrolithiasis include high urine calcium, high urine oxalate, low urine citrate, high urine uric acid, low urine volume, and certain dietary factors.
Choice B rationale
This statement is incorrect. HSV (Herpes Simplex Virus) transmission can occur even when there are no visible symptoms or sores.
Choice C rationale
This statement is incorrect. Individuals with HSV do not develop immunity after the first exposure.
Choice D rationale
This statement is unrelated to nephrolithiasis. HSV can recur periodically, but it’s not a risk factor for kidney stones.
Correct Answer is A
Explanation
Choice A rationale
Functional incontinence is experienced by individuals who have normal bladder control but, due to physical disabilities, they are unable to reach the restroom in time.
Choice B rationale
Mixed incontinence is a combination of stress and urge incontinence, which involves symptoms of both types.
Choice C rationale
Urge incontinence involves a sudden, intense urge to urinate followed by an involuntary loss of urine.
Choice D rationale
Stress incontinence occurs when urine leaks out during any physical exertion that increases abdominal pressure, such as coughing or sneezing.
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