A patient experiencing burning while urinating, cloudy urine, and pain in their urethra can be experiencing signs and symptoms of:
A urinary tract infection (UTI).
Kidney obstruction.
A stroke.
Heart failure.
The Correct Answer is A
Choice A reason: Burning urination, cloudy urine, and urethral pain are classic UTI symptoms, caused by bacterial infection (e.g., Escherichia coli) irritating the urinary tract. Prompt recognition guides antibiotic therapy and hydration, preventing complications like pyelonephritis. Accurate diagnosis ensures timely treatment, critical for relieving discomfort and avoiding infection spread in affected patients.
Choice B reason: Kidney obstruction typically causes flank pain, reduced urine output, or hematuria, not burning urination or cloudy urine. These symptoms align with UTI, not obstruction. Misidentifying risks delaying UTI treatment, potentially leading to kidney damage or sepsis, while unnecessary imaging for obstruction complicates care unnecessarily.
Choice C reason: Stroke presents with neurological symptoms like weakness or confusion, not urinary symptoms like burning or cloudy urine. These indicate UTI, not stroke. Assuming stroke misdirects care, delaying antibiotic treatment for UTI, risking infection progression and overlooking neurological assessment needed for actual stroke symptoms.
Choice D reason: Heart failure causes edema, dyspnea, or fatigue, not urinary symptoms like burning or cloudy urine, which suggest UTI. Misidentifying as heart failure risks neglecting antibiotic therapy, allowing UTI to worsen, potentially causing sepsis. This error diverts focus from cardiac assessment needed for heart failure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Smoking history is relevant for vascular or lung issues but not directly for unilateral arm edema, which suggests localized causes like lymphedema. Breast surgery history is more pertinent. Assuming smoking is key risks missing lymphatic causes, delaying diagnosis and management of edema in affected patients.
Choice B reason: Left arm edema may indicate lymphedema from breast surgery, like mastectomy, which disrupts lymphatic drainage. Asking about surgery history is critical to identify causes, guiding interventions like compression therapy. This targeted question ensures accurate diagnosis, preventing complications like chronic swelling or infection in patients with post-surgical edema.
Choice C reason: Recent weight gain may cause generalized edema but is less likely for unilateral arm edema, which points to localized issues like post-surgical lymphedema. Assuming weight gain is key risks overlooking specific causes, delaying targeted treatments critical for managing localized edema and improving patient comfort and function.
Choice D reason: Extra nipples (supernumerary nipples) are anatomical variants, unrelated to arm edema, which likely stems from lymphatic or vascular issues. Assuming this is relevant misdirects assessment, risking neglect of surgical history, critical for diagnosing lymphedema and implementing appropriate interventions like lymphatic drainage or compression.
Correct Answer is A
Explanation
Choice A reason: Dementia is a progressive condition causing memory decline and impaired daily activities, as seen in Alzheimer’s or vascular dementia. This definition aligns with clinical criteria, guiding diagnosis and care like cognitive therapy or medications. Accurate recognition ensures proper support, critical for improving quality of life in affected patients.
Choice B reason: Assuming false is incorrect, as dementia accurately describes progressive cognitive and functional decline. Misidentifying this risks misunderstanding the condition, potentially delaying diagnosis or interventions like cholinesterase inhibitors. Recognizing dementia’s definition ensures timely care planning, essential for managing symptoms and supporting patients and families in chronic cognitive disorders.
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