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A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

Postvoid urine residual measurement

Blood urea nitrogen (BUN)

Cystourethrogram

Creatinine

Kidney, ureter, bladder (KUB) x-ray

Bladder scan

Answer and Explanation

Correct Answer : A,E,F

Choice A reason: Postvoid urine residual measurement is a direct method to assess for urinary retention.

Choice B reason: Blood urea nitrogen (BUN) levels may indicate kidney function but not specifically urinary retention.

Choice C reason: A cystourethrogram is used to visualize the bladder and urethra, which may not be the first choice for assessing urinary retention.

Choice D reason: Creatinine levels indicate kidney function but not urinary retention.

Choice E reason: A kidney, ureter, bladder (KUB) x-ray can show the size of the bladder and may indicate retention.

Choice F reason: A bladder scan is a non-invasive way to measure the amount of urine in the bladder and assess for

retention.

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Correct Answer is A

Explanation

Choice A reason: Ice cream is considered a fluid in dietary terms, so not counting it as part of fluid intake shows a misunderstanding.

Choice B reason: Making a list of favorite beverages does not demonstrate understanding of fluid restrictions.

Choice C reason: Putting beverages in large containers does not reffect an understanding of fluid restrictions and could lead to overconsumption.

Choice D reason: Consuming most fluid during the evening could lead to fluid overload overnight, which is not advisable.

A. Renal failure B. Low-protein diet C. Dehydration D. Syndrome of inappropriate antidiuretic hormone (SIADH)

Correct Answer is C

Explanation

Choice A reason: Renal failure is typically associated with abnormal creatinine and BUN levels, which are not

indicated in the given lab values.

Choice B reason: A low-protein diet is not directly indicated by the lab values provided and does not typically result in

collapse after exertion.

Choice C reason: Dehydration is consistent with the client's history of collapsing after playing football on a hot day

and is supported by the elevated sodium level.

Choice D reason: SIADH usually presents with low sodium levels due to dilution, which is not the case here.

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A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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