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 A
Explanation
A. Introduction of pathogens into the bladder: Repeated catheterizations significantly increase the risk of introducing pathogens, leading to urinary tract infections.
B. Frequent genital exposure of the patient: While exposure may be uncomfortable for the patient, it is not the greatest concern.
C. Presence of the indwelling catheter: This question refers to frequent catheterizations, not an indwelling catheter, though both carry infection risks.
D. Causing urethral erosion: Urethral trauma can occur but is less concerning than infection.
Correct Answer is D
Explanation
A. Proteus mirabilis: While Proteus species can cause UTIs, they are less common than E. coli and are often associated with catheter-related infections.
B. Pseudomonas aeruginosa: Pseudomonas causes UTIs primarily in hospitalized patients or those with indwelling catheters.
C. Klebsiella pneumoniae: Klebsiella species are less common than E. coli as causes of community-acquired UTIs.
D. E. coli: E. coli is the most common cause of community-acquired UTIs, accounting for approximately 80–90% of cases, due to its presence in the gastrointestinal tract and close proximity to the urethra.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.