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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","C","D","E"]

Explanation

Choice A reason: Pruritus, or severe itching, is a common symptom in patients with ESRD due to the build-up of waste products in the body.

Choice B reason: Slurred speech is not typically associated with ESRD. It may be a symptom of other neurological conditions or could be related to medications or treatments.

Choice C reason: Hypotension can be an expected finding in ESRD due to the fluid shifts and changes in blood volume

that occur during dialysis treatment.

Choice D reason: Bone pain is a known complication of ESRD, often resulting from the mineral and bone disorders that are part of chronic kidney disease-mineral and bone disorder (CKD-MBD).

Choice E reason: Bradypnea, or abnormally slow breathing, may occur in ESRD as a result of metabolic changes affecting the respiratory system.

A. The client admitted to the hospital who has clinical findings of periorbital edema, dark frothy urine, and elevated blood pressure. B. The client admitted to the hospital who has clinical findings of severe flank pain, nausea, and vomiting. C. The client admitted to the hospital who has clinical findings of polyuria, nocturia, proteinuria, and a palpable kidney mass. D. The client admitted to the hospital who has clinical findings of urinary urgency, weak urine stream, and dysuria.

Correct Answer is B

Explanation

Choice A reason: Periorbital edema, dark frothy urine, and elevated blood pressure are more indicative of conditions like nephrotic syndrome rather than kidney stones.

Choice B reason: Severe flank pain, nausea, and vomiting are classic symptoms associated with kidney stones, and such clients should be educated on kidney stone prevention.

Choice C reason: Polyuria, nocturia, proteinuria, and a palpable kidney mass could suggest other renal issues, but not specifically kidney stones.

Choice D reason: Urinary urgency, weak urine stream, and dysuria could be symptoms of a urinary tract infection or prostate issues in males, rather than kidney stones.

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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 caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

Correct Answer is B

Explanation

A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?

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