A female presents to the clinic with complaints of dysuria and increased urinary frequency. Which of the following findings on physical examination would most likely support a diagnosis of cystitis?
Costovertebral angle tenderness
Suprapubic tenderness
Abdominal distention
Lower extremity edema
The Correct Answer is B
A. Costovertebral angle tenderness: Costovertebral angle tenderness is more indicative of pyelonephritis (kidney infection) rather than cystitis, as it signals an upper urinary tract infection.
B. Suprapubic tenderness: Suprapubic tenderness is a classic sign of cystitis. This symptom, combined with dysuria and increased urinary frequency, strongly supports the diagnosis.
C. Abdominal distention: Abdominal distention is not typically associated with cystitis. It may suggest other conditions like bowel obstruction or ascites.
D. Lower extremity edema: Lower extremity edema is not a common finding in cystitis. It is more associated with systemic conditions like heart failure or kidney disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Measure abdominal girth daily. Measuring abdominal girth daily helps assess for changes in distention, which is important in monitoring the effectiveness of the decompression.
B. Moisten the client's lips with lemon-glycerin swabs: This is incorrect because lemon-glycerin swabs can dry the oral mucosa. Using plain water or normal saline swabs would be more appropriate.
C. Maintain the client in Fowler's position: This is appropriate as it helps promote drainage from the nasogastric tube and reduces the risk of aspiration.
D. Use sterile water to irrigate the nasogastric tube: Irrigation is typically done with normal saline to maintain electrolyte balance. Sterile water is not recommended for this purpose.
Correct Answer is C
Explanation
A. Atorvastatin: Atorvastatin is a statin used to manage cholesterol levels. It is generally safe for use in patients with CKD.
B. Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to manage hypertension and protect the kidneys in diabetic nephropathy. It can be beneficial in CKD patients.
C. Vancomycin: Vancomycin is an antibiotic known to be nephrotoxic, especially in patients with compromised kidney function. It should be used with caution or avoided in patients with CKD.
D. Aspirin: While aspirin can have adverse effects on the kidneys at high doses, its nephrotoxic potential is lower than that of vancomycin. In low doses, aspirin is commonly used for cardiovascular protection, even in patients with CKD.
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