A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?
Red
Greenish-brown
Dark and foamy
Pale yellow
The Correct Answer is C
Choice A reason: Red urine can indicate the presence of blood, which is not typically associated with cholecystitis. This finding might be more related to urinary tract issues or hematuria.
Choice B reason: Greenish-brown urine is not a common description for urine changes associated with cholecystitis. It does not reflect the typical bilirubin-induced color changes.
Choice C reason: Dark and foamy urine is associated with cholecystitis due to the presence of excess bilirubin in the urine. The dark color indicates the liver's bile is backing up due to the inflamed gallbladder, and the foaminess can result from high bilirubin levels.
Choice D reason: Pale yellow urine is normal and does not indicate cholecystitis. It suggests proper hydration and normal urine function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Mr. Dominic's pain has been controlled to a manageable level, and although he experienced elevated liver enzymes, there are no acute symptoms requiring immediate intervention. He has been able to sleep, indicating that his current condition is stable.
Choice B reason: Mr. Bradford, although experiencing discomfort and blood-tinged urine, is post-surgical, and his condition is stable with managed output. Ambulating is a positive sign post-surgery, indicating recovery. His condition needs monitoring but is not the most urgent.
Choice C reason: Mr. Jennings, who had a TURBT yesterday, is experiencing bladder spasms and high volume irrigation. The output is almost equivalent to the input, which is a positive sign, but bladder spasms can indicate irritation, infection, or a blockage that needs prompt assessment and intervention to prevent further complications.
Choice D reason: Ms. Griffiths presents a similar case to Mr. Dominic, with controlled pain and elevated liver enzymes. She is stable overnight, and her pain level is low after medication, indicating her condition is currently managed.
Correct Answer is D
Explanation
Choice A reason: Urinary incontinence is the involuntary leakage of urine and is not specifically associated with the described urine characteristics of dark amber, cloudiness, and unpleasant odor. These symptoms indicate an infection rather than a condition involving control over urination.
Choice B reason: Urinary retention involves the inability to completely empty the bladder, leading to retained urine. It does not typically manifest with dark amber, cloudy urine, and unpleasant odor, which are more indicative of an infection.
Choice C reason: Urinary frequency refers to the need to urinate more often than usual and does not specifically align with the described urine characteristics. The focus in this case is on the urine's appearance and smell, pointing more towards an infection.
Choice D reason: Urinary tract infection (UTI) is the most likely condition associated with dark amber, cloudy urine, and unpleasant odor. UTIs result from bacterial infection, leading to inflammation and the presence of pus or blood, which causes the described symptoms. Prompt diagnosis and treatment are necessary to prevent complications.
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