A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)

Multiple sclerosis

Streptococcal infection

Constipation

Parkinson's disease

Pelvic organ prolapse

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: Multiple sclerosis can affect the nerves that control the bladder and sphincter muscles, leading to urinary retention.

Choice B reason: Streptococcal infection is not typically associated with urinary retention unless it specifically affects the urinary tract, which is not common.

Choice C reason: Constipation can cause urinary retention by exerting pressure on the bladder or urethra, obstructing the flow of urine.

Choice D reason: Parkinson's disease can lead to urinary retention due to the impairment of nerve signals that

control the bladder.

Choice E reason: Pelvic organ prolapse can obstruct the urethra, leading to difficulty in emptying the bladder and resulting in urinary retention.

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Correct Answer is C

Explanation

Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.

Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.

Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.

Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.

A. "This test will tell your doctor how your kidneys are functioning." B. "This test will tell if you have severe renal impairment or a disease." C. "We'll find out if any medications, such as steroids, are interfering with your kidney function." D. "You'll have to ask your doctor."

Correct Answer is A

Explanation

Choice A reason: The serum creatinine test measures the amount of creatinine in the blood and provides information about kidney function. Normal ranges for serum creatinine levels are 0.74 to 1.35 mg/dL for adult men and 0.59 to

1.04 mg/dL for adult women. This test is a common way to assess renal function and can indicate if the kidneys are not filtering waste eﬀectively.

Choice B reason: While a serum creatinine test can indicate severe renal impairment, it does not diagnose a specific disease. Further testing would be required to determine the presence of a particular renal disease.

Choice C reason: The serum creatinine test does not directly show if medications are aﬀecting kidney function. However, if a patient is on medications known to aﬀect the kidneys, such as certain steroids, changes in creatinine levels can suggest an impact on renal function.

Choice D reason: It is part of the nurse's role to provide information about tests and procedures. Telling a patient to ask the doctor does not oﬀer immediate support or information, which can be important for patient care and understanding.

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A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

Correct Answer is C

Explanation

A nurse is caring for a client who will have blood sampling for serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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