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A nurse is evaluating a patient who is suffering from prostatic hypertrophy.
What symptoms associated with urinary retention should the nurse anticipate? (Choose all that apply)

Sensation of pressure

Dysuria

Bladder distension

Tenderness over the symphysis pubis

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

Sensation of pressure is a common symptom of urinary retention due to prostatic hypertrophy.

Choice B rationale

Dysuria, or painful urination, can occur due to the enlarged prostate pressing against the urethra.

Choice C rationale

Bladder distension is a result of the bladder becoming overly full due to inability to fully empty the bladder.

Choice D rationale

Tenderness over the symphysis pubis can occur due to the bladder being overly full and distended.

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Correct Answer is ["B","D","E"]

Explanation

Choice A rationale

Standing directly in front of a patient who has a history of anger and aggression can be perceived as threatening and may escalate the situation.

Choice B rationale

Knowing the layout of the facility can help the nurse to plan for safe exits or to put barriers between themselves and the patient if needed.

Choice C rationale

Bringing security for all patient interactions can escalate the situation and should only be done if there is a clear threat to safety.

Choice D rationale

Providing immediate verbal feedback for escalating behavior can help to de-escalate the situation and reassure the patient.

Choice E rationale

Avoiding wearing necklaces during patient care can reduce the risk of injury to the nurse.

A. Impaired carbon dioxide elimination due to shunting. B. Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch. C. Hypoxemia due to dead space. D. Decreased pulmonary compliance due to stiffness.

Correct Answer is ["A","D"]

Explanation

Choice A rationale

In ARDS, impaired carbon dioxide elimination due to shunting can occur. Shunting refers to the diversion of blood from areas of the lung that are ventilated to areas that are not, leading to impaired gas exchange.

Choice B rationale

Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch is not a typical finding in ARDS3.

Choice C rationale

Hypoxemia due to dead space is not a typical finding in ARDS. Dead space refers to areas of the lung that are ventilated but not perfused.

Choice D rationale

Decreased pulmonary compliance due to stiffness is a typical finding in ARDS. The lungs become stiff and less compliant due to the accumulation of fluid and inflammatory cells in the alveoli and interstitial space.

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A nurse is evaluating a patient who is suffering from prostatic hypertrophy.What symptoms associated with urinary retention should the nurse anticipate? (Choose all that apply)

Nursing Test Bank

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A nurse is evaluating a patient who is suffering from prostatic hypertrophy.
What symptoms associated with urinary retention should the nurse anticipate? (Choose all that apply)