A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

"I get such back pain with these urine infections. It hurts so bad."

"When I have one of these infections, I can't go to my grandkids' school activities like I normally do."

"I have to be close to a bathroom no mater where I am when I have this infection."

"Sometimes I get so nauseated and start throwing up and can't even keep water down."

Answer and Explanation

The Correct Answer is B

Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.

Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.

Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.

Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.

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Correct Answer is A

Explanation

Choice A reason: General anesthesia can cause urinary retention due to its effects on the nervous system, which may temporarily impair the normal re?exes that control urination. This is particularly relevant in the immediate postoperative period.

Choice B reason: While liver failure can have many systemic effects, it is not directly associated with an increased risk of urinary retention. Urinary retention is more commonly related to factors affecting the urinary tract or nervous system.

Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, but it does not directly increase the risk of urinary retention. Urinary retention typically involves an obstruction or nerve dysfunction.

Choice D reason: Antibiotic treatment for a skin infection, even one caused by Staphylococcus aureus, would not typically result in urinary retention. Urinary retention is usually related to urinary tract obstructions, medications, or nerve issues.

A. Take 3,000 mg of vitamin C daily. B. Drink 3 L of fluid every day. C. Eat 12 oz of animal protein daily. D. Restrict calcium intake to one serving per day.

Correct Answer is B

Explanation

Choice A reason: Taking 3,000 mg of vitamin C daily is not recommended as it may increase the risk of calcium oxalate stones due to possible conversion of vitamin C to oxalate.

Choice B reason: Drinking 3 L of fluid every day is advised to prevent kidney stones by diluting the urine and reducing the concentration of stone-forming substances.

Choice C reason: Eating 12 oz of animal protein daily is excessive and can increase the risk of kidney stones due to higher excretion of calcium and oxalate.

Choice D reason: Restricting calcium intake to one serving per day is not recommended as a normal calcium intake is necessary to bind oxalate in the gut and reduce oxalate absorption.

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A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is at greatest risk for urinary retention?

Correct Answer is A

Explanation

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

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