A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

Blood in urine

Cloudy urine

Leakage of urine

Dark-colored urine

Answer and Explanation

The Correct Answer is C

A. Blood in the urine (hematuria) is not typically associated with urinary retention but can indicate other conditions such as infection or trauma.

B. Cloudy urine may indicate infection but is not a direct sign of urinary retention.

C. Leakage of urine, or overflow incontinence, occurs when the bladder becomes overly full due to retention and releases small amounts of urine involuntarily.

D. Dark-colored urine typically indicates dehydration, which is not a specific sign of urinary retention.

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Correct Answer is C

Explanation

A. RBC count is related to anemia and oxygen-carrying capacity but not infection.

B. BUN is an indicator of kidney function and dehydration but is not directly related to infection.

C. An elevated WBC count is a common sign of infection, as the body increases the production of white blood cells to fight pathogens.

D. Potassium levels are related to electrolyte balance and not directly to infection.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E","dropdown-group-3":"B"}

Explanation

Wound infection: The presence of purulent drainage and redness at the incision site indicates a risk for infection, especially given the client's surgical history and risk factors (obesity, diabetes).

Dehiscence: The noted separation of the top edges of the incision and stretched upper staples increases the risk of dehiscence, which can occur due to tension, infection, or inadequate healing.

Pneumonia: The client is febrile, has crackles upon auscultation, and may be at risk for pneumonia due to decreased mobility and shallow breathing, which can occur post-surgery.

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A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

Correct Answer is C

Explanation

A nurse is caring for a client who had abdominal surgery 3 days ago. Exhibits Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing Target 1 dropdown Target 2 dropdown and ___Target 3 dropdown .

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E","dropdown-group-3":"B"}

Explanation

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