A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)
Postvoid urine residual measurement
Blood urea nitrogen (BUN)
Cystourethrogram
Creatinine
Kidney, ureter, bladder (KUB) x-ray
Bladder scan
Correct Answer : A,E,F
Choice A reason: Postvoid urine residual measurement is a direct method to assess for urinary retention.
Choice B reason: Blood urea nitrogen (BUN) levels may indicate kidney function but not specifically urinary retention.
Choice C reason: A cystourethrogram is used to visualize the bladder and urethra, which may not be the first choice for assessing urinary retention.
Choice D reason: Creatinine levels indicate kidney function but not urinary retention.
Choice E reason: A kidney, ureter, bladder (KUB) x-ray can show the size of the bladder and may indicate retention.
Choice F reason: A bladder scan is a non-invasive way to measure the amount of urine in the bladder and assess for
retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While fiber is important in a diet, recommending at least 45 g per day does not specifically address the needs of a patient with diabetic nephropathy.
Choice B reason: Consuming less than 0.8 g/kg of body weight of protein per day is recommended for patients with diabetic nephropathy to reduce the workload on the kidneys.

Choice C reason: Limiting cholesterol intake to 300 mg per day is a general recommendation for heart health but is not specific to diabetic nephropathy dietary management.
Choice D reason: The recommendation to consume less than 45% of total calories from carbohydrates is not specific to diabetic nephropathy, and carbohydrate needs can vary based on individual energy requirements.
Correct Answer is A
Explanation
Choice A reason: Flank pain is a common symptom of PKD due to the enlargement of cysts within the kidneys.

Choice B reason: Confusion is not a direct symptom of PKD but could be related to complications such as severe hypertension or toxins in the blood due to decreased kidney function.
Choice C reason: Hypotension is not typically associated with PKD; in fact, hypertension is a more common finding due to the disease's impact on kidney function.
Choice D reason: Urinary retention is not a typical finding in PKD. Instead, symptoms like hematuria (blood in the urine) and increased urinary frequency may occur.
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