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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Vitamin D is important for bone health but is not directly involved in wound healing.
B. Vitamin B1 (thiamine) is essential for energy metabolism but does not play a major role in wound healing.
C. Calcium is vital for bone health, but protein plays a more significant role in tissue repair.
D. Protein is essential for tissue regeneration and wound healing as it helps build and repair tissues.
Correct Answer is D
Explanation
A. A small amount of red drainage is expected immediately after surgery.
B. A shiny, moist stoma indicates healthy tissue and is a normal finding.
C. A rosebud-like appearance of the stoma is expected for a newly created colostomy.
D. A purplish-colored stoma is a sign of compromised circulation and possible necrosis, which requires immediate medical attention.
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