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 A

Explanation

Choice A rationale

Spending time with the patient is a therapeutic nursing approach when caring for a patient hospitalized for the treatment of severe depression. This approach shows the patient that they

are not alone and that their feelings are important. It can help build trust and rapport, which are essential for effective therapeutic communication and intervention.

Choice B rationale

Offering the patient choices of activities can be beneficial as it can provide a sense of control and improve mood. However, this approach should be used judiciously as the patient’s energy levels and interest in activities may be low due to depression.

Choice C rationale

Establishing a therapeutic relationship with the patient is an important aspect of care. However, this is a broad approach and involves more than just spending time with the patient. It includes building trust, maintaining confidentiality, and providing empathetic and nonjudgmental care.

Choice D rationale

Exploring the truth of the patient’s statements can be part of cognitive behavioral therapy (CBT), a common treatment for depression. However, this is usually done by a trained therapist and not by a nurse providing general care.

A. Lower quadrant pain B. Cullen’s sign C. Goodell’s sign D. Chadwick’s sign

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.

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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 is caring for a patient hospitalized for the treatment of severe depression. Which of the following nursing approaches should be included in the patient’s care plan?

Correct Answer is A

Explanation

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

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

A nurse in the nursery is caring for a newborn. The newborn’s grandmother asks if she can take the newborn to the mother’s room. What is an appropriate response by the nurse?

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A nurse is preparing to infuse ampicillin and gentamicin sulfate intravenously.Which resource should the nurse first consult for information on medication compatibility?

A nurse in a community health clinic is caring for a patient who has a new diagnosis of plantar warts. What should the nurse include in the teaching plan for this patient?

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A home health nurse is conducting a home safety assessment for an older adult patient.Which of the following findings should the nurse identify as a safety risk for the patient? (Select all that apply)