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
Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. It’s not typically associated with hirsutism, amenorrhea, and infertility.
Choice B rationale
Primary amenorrhea refers to the absence of menstruation in a girl by age 16. While it can cause infertility, it’s not typically associated with hirsutism.
Choice C rationale
Premenstrual syndrome (PMS) refers to physical and emotional symptoms that occur in the one to two weeks before a woman’s period. It’s not associated with hirsutism or infertility.
Choice D rationale
Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels, which can cause hirsutism and amenorrhea, and it’s often associated with infertility.
Correct Answer is A
Explanation
Choice A rationale
Occult blood in the stool is a clinical manifestation associated with colorectal cancer.
Choice B rationale
Vomiting is not typically associated with colorectal cancer.
Choice C rationale
Weight gain is not a common symptom of colorectal cancer.
Choice D rationale
Epigastric pain is not typically associated with colorectal cancer, as this type of pain is usually related to conditions affecting the stomach.
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