A nurse is planning care for a patient who is immobile and is experiencing urinary retention.
The nurse should plan to monitor the patient for which of the following?

Neurogenic bladder

Urinary tract infection

Bladder outlet obstruction

Genitourinary System Effects

Answer and Explanation

The Correct Answer is B

Choice A rationale
Neurogenic bladder is a condition where a person lacks bladder control due to a brain, spinal cord or nerve condition. This is not the most fitting answer because the scenario does not provide information about any neurological conditions.
Choice B rationale
Urinary retention can lead to urinary tract infections. The retained urine provides a breeding ground for bacteria, which can lead to infection.
Choice C rationale
Bladder outlet obstruction is a condition where the bladder is not able to empty properly. While urinary retention could be a symptom of this condition, the scenario does not provide enough information to suggest this diagnosis.
Choice D rationale
Genitourinary System Effects is a broad term that refers to any effects on the genital and urinary systems. This is not the most fitting answer because it is less specific than Choice B2.

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Correct Answer is A

Explanation

Choice A rationale
Increasing fluid intake can help alleviate constipation. Fluids can soften stool, making it easier to pass.
Choice B rationale
A low-fiber diet can actually contribute to constipation. Fiber adds bulk to the stool and helps it move more quickly through the intestines.
Choice C rationale
While mineral oil can sometimes be used to relieve constipation, it is not typically the first intervention chosen. It can interfere with the absorption of certain nutrients and medications.
Choice D rationale
Cold fluids do not have a significant effect on constipation. While staying hydrated is important, the temperature of the fluids is not typically a factor in constipation.

A. “Install handrails in your bathroom.”. B. “Use a standard height toilet seat.”. C. “Wear backless shoes.”. D. “Cover extension cords with a throw rug.”. . E. “Cover extension cords with a throw rug.”. .

Correct Answer is A

Explanation

Choice A rationale
Installing handrails in the bathroom is a recommended strategy for reducing the risk of falls. Handrails provide support and stability, particularly in slippery environments like the bathroom.
Choice B rationale
Using a standard height toilet seat is not necessarily a recommended strategy for reducing the risk of falls. A toilet seat at an appropriate height for the individual would be more beneficial.
Choice C rationale
Wearing backless shoes is not a recommended strategy for reducing the risk of falls. Shoes with good support and non-slip soles are typically recommended.
Choice D rationale
Covering extension cords with a throw rug is not a recommended strategy for reducing the risk of falls. This could potentially create a tripping hazard.

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A nurse is planning care for a patient who is immobile and is experiencing urinary retention. The nurse should plan to monitor the patient for which of the following?

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A nurse is planning care for a patient who is immobile and is experiencing urinary retention.
The nurse should plan to monitor the patient for which of the following?