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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Inject the ordered amount of heparin into the fistula: Heparin is not used to treat occlusion in a fistula without specific orders or a proper diagnostic workup.
B. Apply warm compresses and lower the arm below the heart level: These interventions are not effective for resolving an absent trill in an AV fistula.
C. Send the patient to dialysis for remedy: The absence of a trill requires immediate assessment before considering dialysis treatment.
D. Report to the charge nurse that the fistula is occluded: An absent trill may indicate occlusion or thrombosis of the AV fistula, which requires urgent evaluation and intervention.
Correct Answer is B
Explanation
A. Eliminate urinary retention: Urinary antimicrobials do not address retention; this would require medications that promote bladder emptying.
B. Have an antiseptic effect on the urine and the urinary tract: Urinary antimicrobials work by reducing bacterial growth within the urinary tract.
C. Enhance output enough to flush out the infection from the urinary tract: Increased output may help prevent infections, but antimicrobials target bacterial pathogens directly.
D. Reduce pain associated with bladder spasms caused by the infection: Analgesics, not antimicrobials, are used for pain relief.
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