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A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)

Dribbling of urine

Color of the urine

Voiding patern

Proteinuria

Bladder distension

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Dribbling of urine can indicate urinary retention, as it may suggest that the bladder is not emptying

completely during voiding.

Choice B reason: While the color of the urine can provide information about hydration status and other health issues, it is not a direct indicator of urinary retention.

Choice C reason: The voiding patern is an important assessment for urinary retention. Infrequent voiding or small amounts despite a full bladder can be signs of this condition.

Choice D reason: Proteinuria is not typically used as an assessment for urinary retention. It can indicate kidney damage or disease but does not directly relate to the bladder's ability to empty.

Choice E reason: Bladder distension can be observed and palpated in cases of urinary retention, as the bladder may become enlarged due to the accumulation of urine.

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Correct Answer is B

Explanation

Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.

Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.

Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.

Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.

A. "I should eat a diet low in potassium while taking this medication." B. "I should limit my fluid intake while taking this medication." C. "My blood pressure will increase while I am taking this medication." D. "I need to limit my sun exposure and wear sunscreen while on this medication."

Correct Answer is D

Explanation

Choice A reason: Furosemide does not require a diet low in potassium; in fact, patients may need to increase their potassium intake due to its diuretic effect.

Choice B reason: Patients on furosemide should not limit fluid intake unless specifically instructed by their healthcare provider, as the medication is a diuretic.

Choice C reason: Furosemide is used to treat high blood pressure, so it would not cause an increase in blood pressure.

Choice D reason: Limiting sun exposure and wearing sunscreen is important as furosemide can make the skin more sensitive to sunlight.

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A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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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.)