A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

Blood in urine

Cloudy urine

Leakage of urine

Dark-colored urine

Answer and Explanation

The Correct Answer is C

A. Blood in the urine (hematuria) is not typically associated with urinary retention but can indicate other conditions such as infection or trauma.

B. Cloudy urine may indicate infection but is not a direct sign of urinary retention.

C. Leakage of urine, or overflow incontinence, occurs when the bladder becomes overly full due to retention and releases small amounts of urine involuntarily.

D. Dark-colored urine typically indicates dehydration, which is not a specific sign of urinary retention.

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Correct Answer is C

Explanation

A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.

B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.

C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.

D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.

A. Urine specific gravity of 1.015 B. Cloudy urine C. Urine osmolality of 200 mOsm/kg D. Dark-colored urine

Correct Answer is D

Explanation

A. A urine specific gravity of 1.015 is within the normal range, so it is not indicative of dehydration.

B. Cloudy urine may indicate infection but is not a hallmark sign of dehydration.

C. A urine osmolality of 200 mOsm/kg is low and more consistent with overhydration rather than dehydration.

D. Dark-colored urine is a common sign of dehydration, as concentrated urine results from reduced fluid intake.

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A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

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