A nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident. What does this finding indicate?
Hematuria with abdominal bruising
Bladder spasms on palpation of abdomen
Distended bladder with painful urination
Retroperitoneal bleeding and bruising over the flank
The Correct Answer is D
A. Hematuria with abdominal bruising: Hematuria refers to blood in the urine but is not directly associated with the bruising characteristic of Grey Turner sign.
B. Bladder spasms on palpation of the abdomen: This does not describe Grey Turner sign, which is related to bleeding.
C. Distended bladder with painful urination: Grey Turner sign is not linked to bladder distension or urination issues.
D. Retroperitoneal bleeding and bruising over the flank: Grey Turner sign indicates retroperitoneal bleeding and is observed as bruising on the flanks, often a result of trauma or pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Eliminate urinary retention: Urinary antimicrobials do not address retention; this would require medications that promote bladder emptying.
B. Have an antiseptic effect on the urine and the urinary tract: Urinary antimicrobials work by reducing bacterial growth within the urinary tract.
C. Enhance output enough to flush out the infection from the urinary tract: Increased output may help prevent infections, but antimicrobials target bacterial pathogens directly.
D. Reduce pain associated with bladder spasms caused by the infection: Analgesics, not antimicrobials, are used for pain relief.
Correct Answer is C
Explanation
A. Hypertension as a result of the increased, concentrated blood volume: Hypertension in chronic kidney disease is due to fluid overload and renin-angiotensin-aldosterone system activation, not erythropoietin deficiency.
B. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis: Dyslipidemia in chronic kidney disease is unrelated to erythropoietin deficiency.
C. Anemia as a result of the diminished number of red blood cells being produced: Erythropoietin stimulates red blood cell production; its deficiency in chronic renal failure leads to anemia.
D. Diminished immunologic function with fewer white blood cells: White blood cell production is not directly affected by erythropoietin deficiency.
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