A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

The patient is lonely and calling then nurse in under false pretenses is a way to get attention.

The patient does not recognize the physiological signals that indicate a need to void.

The patient is not drinking enough fluids to produce adequate urine output.

The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void.

Answer and Explanation

The Correct Answer is D

A. The patient is lonely and calling the nurse under false pretenses. This is an inappropriate assumption. The patient may be experiencing urinary hesitancy due to anxiety, not seeking attention.

B. The patient does not recognize the physiological signals that indicate a need to void. The patient recognized the need to void but is having difficulty due to psychological factors (e.g., anxiety, privacy concerns).

C. The patient is not drinking enough fluids to produce adequate urine output. The patient felt the urge to void, meaning they do have urine in the bladder. The issue is likely related to difficulty initiating urination rather than fluid intake.

D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Paruresis ("shy bladder syndrome") can make it difficult to void in the presence of others due to anxiety or embarrassment.

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Correct Answer is C

Explanation

A. Irrigating a catheter: Catheter irrigation requires sterile technique and nursing judgment, making it an inappropriate task for an AP. It must be performed by a licensed nurse.

B. Interpreting a bladder scan result: APs may perform bladder scans in some settings, but interpretation of results requires nursing knowledge and clinical decision-making, which is beyond their scope of practice.

C. Obtaining a midstream urine specimen: Collecting a urine specimen is a non-invasive task that falls within the scope of practice for an AP, as it does not require sterile technique or nursing assessment.

D. Inserting a straight catheter: Insertion of a catheter requires sterile technique and nursing assessment, making it a task reserved for licensed nurses.

A. (Select All that Apply.) B. Urgency C. Frequency D. Dysuria E. Prostate size F. Bladder infection

Correct Answer is ["A","B","C"]

Explanation

A. Urgency: Antimuscarinic medications reduce bladder contractions, thereby decreasing the sudden urge to urinate.

B. Frequency: These medications help by increasing bladder capacity and reducing the need to urinate frequently.

C. Dysuria: Some antimuscarinics can alleviate bladder irritation, which may improve dysuria (painful urination) in certain conditions.

D. Prostate size: Antimuscarinics do not reduce prostate size. Medications like 5-alpha reductase inhibitors (e.g., finasteride) are used for this purpose.

E. Bladder infection: Antimuscarinics do not treat infections. Antibiotics are required to treat bladder infections (UTIs).

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A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?

Correct Answer is C

Explanation

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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