A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?

Interstitial cystitis (although rare in a male patient)

Cystitis, probably from bacterial contamination

Urinary calculi, probably located in the ureter

Kidney infection, most likely pyelonephritis

Answer and Explanation

The Correct Answer is B

A. Interstitial cystitis (although rare in a male patient): Interstitial cystitis is a chronic condition typically diagnosed after other causes, like infection, are ruled out.

B. Cystitis, probably from bacterial contamination: Symptoms such as urgency, frequency, suprapubic pain, and cloudy urine strongly suggest a urinary tract infection (UTI), specifically bacterial cystitis.

C. Urinary calculi, probably located in the ureter: While urinary calculi may cause similar symptoms, dark cloudy urine is more indicative of infection than stones.

D. Kidney infection, most likely pyelonephritis: Pyelonephritis typically presents with systemic symptoms such as fever, chills, and flank pain, which are not described here.

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Correct Answer is A

Explanation

A. It gives more independence and more closely resembles normal kidney function: Peritoneal dialysis allows patients to manage treatment at home, providing more flexibility and independence, and it mimics the kidney's natural filtration process.

B. It has literally no drawbacks: While peritoneal dialysis has benefits, potential complications include peritonitis, catheter infections, and hyperglycemia from the dialysis solution.

C. It usually does not work very well and has many complications, such as a high blood sugar level: While hyperglycemia can occur, this exaggerates the risks and misrepresents the effectiveness of peritoneal dialysis.

D. It is a lot more work than hemodialysis, in which the health care staff takes care of everything: While it requires self-management, the workload depends on individual circumstances and training.

A. Decreases the urge to void. B. Acidifies urine C. Prevents urinary retention. D. Restores bladder tone and function.

Correct Answer is A

Explanation

A. Decreases the urge to void: Tolterodine (Detrol) is an anticholinergic medication used to treat overactive bladder by reducing bladder contractions, thereby decreasing the urge to void.

B. Acidifies urine: Tolterodine does not alter urine pH. Medications like ascorbic acid are used to acidify urine.

C. Prevents urinary retention: Tolterodine can actually cause or exacerbate urinary retention as a side effect.

D. Restores bladder tone and function: Tolterodine does not restore bladder tone but works by relaxing the bladder muscles to reduce urinary urgency and frequency.

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A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?

Correct Answer is A

Explanation

A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the healthcare provider will order?

A nurse is caring for a patient with acute glomerulonephritis. What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?

A home health patient diagnosed with cystitis has been prescribed the medication phenazopyridine (Pyridium). When providing patient teaching, what should the nurse caution the patient about?

A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. What is the primary goal of treatment?

Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?

The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)

Which outcome is most necessary for a patient diagnosed with renal calculi?

A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?