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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.

Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.

Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.

Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.

A. Flatened neck veins B. Return of skin to previous position when the client's skin is palpated C. The client has a 5 lb weight gain since yesterday. D. Oxygen saturation 93%

Correct Answer is C

Explanation

Choice A reason: Flatened neck veins would suggest dehydration rather than fluid overload.

Choice B reason: The return of skin to previous position when pinched indicates good skin turgor, not fluid overload.

Choice C reason: A significant weight gain in a short period, such as 5 lb since yesterday, is a classic sign of fluid overload.

Choice D reason: An oxygen saturation of 93% does not necessarily indicate fluid overload.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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