A nurse is caring for a patient and notices that the patient’s urine is dark amber, cloudy, and has an unpleasant odor. Which of the following conditions should the nurse associate these findings with?

Urinary retention

Urinary incontinence

Urinary tract infection

Urinary frequency

Answer and Explanation

The Correct Answer is C

Choice A rationale

Urinary retention refers to the inability to empty the bladder completely. While it can cause discomfort and bloating, it does not typically result in dark amber, cloudy urine with an unpleasant odor.

Choice B rationale

Urinary incontinence is the loss of bladder control, leading to the involuntary leakage of urine. It does not cause the urine to become dark amber, cloudy, or have an unpleasant odor.

Choice C rationale

A urinary tract infection (UTI) is an infection in any part of the urinary system — kidneys, bladder, urethra. Most UTIs are caused by bacteria, but they can also be caused by viruses or fungi. Symptoms of a UTI often include cloudy, dark, or strong-smelling urine.

Choice D rationale

Urinary frequency refers to needing to urinate more often than usual. It can be a symptom of many different issues, including a UTI, but on its own, it does not cause the urine to become dark amber, cloudy, or have an unpleasant odor.

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Correct Answer is B

Explanation

Choice A rationale

Lower quadrant pain is a common symptom of many conditions, including ectopic pregnancy. However, it does not specifically indicate the presence of blood in the peritoneum.

Choice B rationale

Cullen’s sign, which is the appearance of bruising in the skin around the umbilicus, is a sign of blood in the peritoneum. It can occur in conditions such as a ruptured ectopic pregnancy.

Choice C rationale

Goodell’s sign is a softening of the cervix that typically occurs early in pregnancy. It does not indicate the presence of blood in the peritoneum.

Choice D rationale

Chadwick’s sign is a bluish discoloration of the cervix, vagina, and labia that occurs in early pregnancy. It does not indicate the presence of blood in the peritoneum.

A. Two nurses lift the patient under the shoulders. B. One nurse lifts while the patient pushes with his feet. C. Two nurses use a device to reduce friction. D. One nurse lifts the patient’s legs as the patient uses a trapeze bar.

Correct Answer is C

Explanation

Choice A rationale

Lifting a patient under the shoulders by two nurses can be strenuous and may not provide adequate support for a patient who can only partially assist.

Choice B rationale

While this method may work for some patients, it relies heavily on the patient’s strength and ability to push with their feet. If the patient is weak or unable to exert enough force, this method could be unsafe.

Choice C rationale

Using a device to reduce friction is the most appropriate technique when shifting a patient who can only partially assist. Devices such as slide sheets or transfer boards can help move the patient smoothly and with less physical strain on the healthcare provider.

Choice D rationale

Lifting the patient’s legs while the patient uses a trapeze bar requires significant upper body strength from the patient and may not be feasible for all patients.

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A nurse is caring for a patient and notices that the patient’s urine is dark amber, cloudy, and has an unpleasant odor. Which of the following conditions should the nurse associate these findings with?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a patient who reports severe abdominal pain in the left quadrant. The healthcare provider suspects a ruptured ectopic pregnancy.What sign should the nurse look for that indicates the patient has blood in the peritoneum?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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