A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)
Multiple sclerosis
Streptococcal infection
Constipation
Parkinson's disease
Pelvic organ prolapse
Correct Answer : A,C,D,E
Choice A reason: Multiple sclerosis can affect the nerves that control the bladder and sphincter muscles, leading to urinary retention.
Choice B reason: Streptococcal infection is not typically associated with urinary retention unless it specifically affects the urinary tract, which is not common.
Choice C reason: Constipation can cause urinary retention by exerting pressure on the bladder or urethra, obstructing the flow of urine.
Choice D reason: Parkinson's disease can lead to urinary retention due to the impairment of nerve signals that
control the bladder.
Choice E reason: Pelvic organ prolapse can obstruct the urethra, leading to difficulty in emptying the bladder and resulting in urinary retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: General anesthesia can impair the autonomic nervous system, which controls bladder function, leading to urinary retention. This risk is particularly high shortly after surgery.
Choice B reason: While liver failure can lead to multiple organ dysfunction, it is not directly associated with urinary retention unless there are concurrent issues affecting the urinary system.
Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, which could potentially cause urinary obstruction, but it is not a direct cause of urinary retention.
Choice D reason: Antibiotics for a skin infection would not typically lead to urinary retention unless there were an allergic reaction or other rare side effects that affect the urinary system.
Correct Answer is D
Explanation
Choice A reason: Carvedilol does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice B reason: Atorvastatin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice C reason: Nitroglycerin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice D reason: Metformin can interact with contrast material and increase the risk of acute kidney injury, especially
in clients with pre-existing kidney problems.
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