A nurse is assisting with the plan of care for a client who is immobile and is experiencing urinary retention. The nurse should plan to monitor the client for which of the following?
Bladder outlet obstruction
Protein in the urine
Neurogenic bladder
Urinary tract infection
The Correct Answer is D
A) Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.
B) While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C) This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D) Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This function is carried out by cardiac muscle, not skeletal muscle.
B) This function is controlled by smooth muscle in the bronchioles, not skeletal muscle.
C) Bladder contraction is primarily controlled by smooth muscle in the bladder wall, not skeletal muscle.
D) Skeletal muscles are responsible for voluntary movements, including gripping and making a fist.
Correct Answer is D
Explanation
A) Age-related changes in bone density often involve decreased calcium deposition, not increased calcification.
B) Muscle mass tends to decrease with age, known as sarcopenia, rather than increase.
C) Balance typically declines with age due to changes in sensory input, muscle strength, and joint flexibility.
D) Joint stiffness commonly occurs as a result of age-related changes such as decreased synovial fluid production and cartilage degeneration.
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