A client who has low back pain reports that they are unable to void. The nurse notices a distended bladder on assessment. Which of the following is the likely cause of this client's low back pain?
Urinary disorder
Stress fracture
Nerve root pain
Renal cancer
The Correct Answer is A
Choice A reason: A distended bladder can cause low back pain due to the pressure and stretching of the bladder wall, which is often related to a urinary disorder such as urinary retention or obstruction.
Choice B reason: A stress fracture is less likely to be the cause of low back pain associated with an inability to void and a distended bladder.
Choice C reason: Nerve root pain typically presents with radiating pain down the leg rather than low back pain associated with urinary symptoms.
Choice D reason: Renal cancer could potentially cause low back pain, but it would not typically cause an inability to void or a distended bladder without other significant symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Multiple sclerosis can affect the nerves that control the bladder and sphincter muscles, leading to urinary retention.
Choice B reason: Streptococcal infection is not typically associated with urinary retention unless it specifically affects the urinary tract, which is not common.
Choice C reason: Constipation can cause urinary retention by exerting pressure on the bladder or urethra, obstructing the flow of urine.
Choice D reason: Parkinson's disease can lead to urinary retention due to the impairment of nerve signals that
control the bladder.
Choice E reason: Pelvic organ prolapse can obstruct the urethra, leading to difficulty in emptying the bladder and resulting in urinary retention.
Correct Answer is A
Explanation
Choice A reason: Diabetes can increase the risk of infection, including peritonitis, due to immune system impairment.
Choice B reason: Obesity may contribute to surgical complications but is not directly linked to an increased risk of peritonitis in the context of peritoneal dialysis.
Choice C reason: Hemochromatosis can affect many organs but is not directly linked to an increased risk of peritonitis in peritoneal dialysis.
Choice D reason: Ulcerative colitis affects the colon and is not directly linked to an increased risk of peritonitis in peritoneal dialysis.
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