A nurse on a medical unit is assessing four clients for urinary retention. Which of the following clients have manifestations of urinary retention?
A client who has an elevated BUN
A client who reports painful urination
A client who reports urinary frequency
A client who has glucose in his urine
The Correct Answer is C
A. A client who has an elevated BUN: An elevated BUN indicates impaired kidney function or dehydration but does not specifically indicate urinary retention. It reflects overall nitrogenous waste accumulation rather than a lower urinary tract issue like retention.
B. A client who reports painful urination: Painful urination, or dysuria, is typically associated with urinary tract infections or inflammation. Clients with retention often experience discomfort from bladder distention but not necessarily burning with urination.
C. A client who reports urinary frequency: Urinary frequency can be a sign of incomplete bladder emptying, where small amounts of urine are voided due to retention. The bladder remains partially full, leading to frequent urges to urinate without full relief.
D. A client who has glucose in his urine: Glucosuria is a common finding in clients with uncontrolled diabetes mellitus and is unrelated to urinary retention. It results from high blood glucose levels exceeding the renal threshold for glucose reabsorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hematemesis: Vomiting blood indicates a possible gastrointestinal bleed, which is a serious complication of peptic ulcer disease. It can lead to hypovolemia, anemia, or hemorrhagic shock, making it the highest priority that requires immediate intervention.
B. Epigastric discomfort: While this is a common symptom of peptic ulcer disease, it is not life-threatening. It can be managed with medications and dietary modifications unless it becomes severe or is accompanied by other alarming symptoms.
C. Constipation: Constipation may result from dietary factors, medications, or reduced activity but is not directly related to ulcer complications. It is not an urgent finding in the context of peptic ulcer disease and would not take priority over signs of active bleeding.
D. Dyspepsia: Indigestion or discomfort after eating is a typical symptom of peptic ulcer disease, but it is not immediately dangerous. It may prompt further evaluation but does not pose an immediate threat like hematemesis does.
Correct Answer is C
Explanation
A. NSAIDs: Nonsteroidal anti-inflammatory drugs are often used to treat acute gout flare-ups because they help reduce inflammation and relieve pain. They are not contraindicated in gout and can be part of the recommended management plan.
B. Expectorants: These medications help loosen mucus in the respiratory tract and have no known effect on uric acid levels or gout symptoms. They are not a concern for clients with gout.
C. Salicylates: Medications containing salicylates, such as aspirin, can interfere with uric acid excretion by the kidneys, potentially worsening gout symptoms or triggering flare-ups. Clients with gout are advised to avoid these drugs unless specifically prescribed for other medical reasons.
D. Antihistamines: These are used to treat allergic reactions and have no significant interaction with uric acid metabolism or gout. They are generally safe for individuals with this condition.
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