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 A

Explanation

A. Decreased intestinal peristalsis is a common physiological change in older adults, which can lead to constipation.

B. Older adults typically have decreased gastric acid production, not increased.

C. Muscle tone of the bowel often decreases with age, leading to slower transit times.

D. Stomach pH may increase due to decreased acid production in older adults, not decrease.

A. RBC count B. BUN C. WBC count D. Potassium

Correct Answer is C

Explanation

A. RBC count is related to anemia and oxygen-carrying capacity but not infection.

B. BUN is an indicator of kidney function and dehydration but is not directly related to infection.

C. An elevated WBC count is a common sign of infection, as the body increases the production of white blood cells to fight pathogens.

D. Potassium levels are related to electrolyte balance and not directly to infection.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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