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 D

Explanation

A. Vitamin D is important for bone health but is not directly involved in wound healing.

B. Vitamin B1 (thiamine) is essential for energy metabolism but does not play a major role in wound healing.

C. Calcium is vital for bone health, but protein plays a more significant role in tissue repair.

D. Protein is essential for tissue regeneration and wound healing as it helps build and repair tissues.

A. Immediately before the client has a meal B. After the client feels abdominal cramping C. Every 2 hr while the client is awake D. When the client has the urge to defecate

Correct Answer is D

Explanation

A. Taking the client to the toilet immediately before a meal does not correlate with the natural timing of defecation.

B. Abdominal cramping may indicate constipation or other issues, but waiting for cramping is not part of bowel training.

C. Taking the client to the toilet every 2 hours may not align with the client’s natural bowel habits.

D. The goal of bowel training is to help the client recognize and respond to the urge to defecate, promoting regular bowel habits and reducing incontinence.

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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

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