A 60-year-old male presents to the emergency department with reports of difficulty urinating and maintaining a urine stream during the day.
At night, he reports experiencing bouts of incontinence.
Based on the symptoms and history, which of the following conditions does the nurse suspect?
Interstitial cystitis
Chronic kidney disease
Benign prostatic hypertrophy
Urethritis
The Correct Answer is C
Choice A rationale
Interstitial cystitis, also known as painful bladder syndrome, primarily causes chronic pain in the bladder and pelvis area.
Choice B rationale
Chronic kidney disease primarily affects the kidneys and does not directly cause urinary symptoms.
Choice C rationale
Benign prostatic hypertrophy, or an enlarged prostate, is a common cause of urinary problems in older men, including difficulty urinating and maintaining a urine stream, and experiencing bouts of incontinence.
Choice D rationale
Urethritis is inflammation of the urethra that causes pain and discomfort during urination, not difficulty maintaining a urine stream or incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Thyroid tumors can lead to hyperthyroidism or hypothyroidism, not hyperparathyroidism.
Choice B rationale
Pancreatic tumors do not directly cause hyperparathyroidism. However, certain types of pancreatic tumors can lead to multiple endocrine neoplasia type 1 (MEN1), a disorder that can include hyperparathyroidism.
Choice C rationale
Hypertension is a condition that can be associated with various endocrine disorders, but it does not cause hyperparathyroidism.
Choice D rationale
Lung infections do not cause hyperparathyroidism. However, certain lung diseases can lead to endocrine disorders.
Correct Answer is D
Explanation
Choice A rationale
An insufficient amount of triiodothyronine (T3) and thyroxine (T4) leads to hypothyroidism, not severe manifestations in adrenocortical insufficiencies.
Choice B rationale
Decreased levels of all the adrenocortical hormones can lead to Addison’s disease, not the most severe manifestations in adrenocortical insufficiencies.
Choice C rationale
Deficiencies in the renin-angiotensin system can lead to problems with blood pressure regulation, not the most severe manifestations in adrenocortical insufficiencies.
Choice D rationale
An insufficient amount of circulating cortisol is a key feature of Addison’s disease, which is an adrenocortical insufficiency. This can lead to severe manifestations such as fatigue, muscle weakness, loss of appetite, and weight loss.
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