A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?
Interstitial cystitis (although rare in a male patient)
Cystitis, probably from bacterial contamination
Urinary calculi, probably located in the ureter
Kidney infection, most likely pyelonephritis
The Correct Answer is B
A. Interstitial cystitis (although rare in a male patient): Interstitial cystitis is a chronic condition typically diagnosed after other causes, like infection, are ruled out.
B. Cystitis, probably from bacterial contamination: Symptoms such as urgency, frequency, suprapubic pain, and cloudy urine strongly suggest a urinary tract infection (UTI), specifically bacterial cystitis.
C. Urinary calculi, probably located in the ureter: While urinary calculi may cause similar symptoms, dark cloudy urine is more indicative of infection than stones.
D. Kidney infection, most likely pyelonephritis: Pyelonephritis typically presents with systemic symptoms such as fever, chills, and flank pain, which are not described here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Polyuria: Polyuria refers to excessive urination, not painful or burning sensations.
B. Hematuria: Hematuria refers to blood in the urine, not burning or pain during urination.
C. Anuria: Anuria refers to the absence of urine production.
D. Dysuria: Dysuria is the medical term used to describe pain or burning during urination.
Correct Answer is A
Explanation
A. Flat plate: A flat plate of the abdomen (plain X-ray) is safe and does not involve contrast dye.
B. Intravenous pyelogram: This procedure involves the use of contrast dye, which is nephrotoxic and contraindicated in patients with renal insufficiency or diabetes mellitus due to the risk of worsening kidney function.
C. Ultrasonography: Ultrasounds do not involve dye or radiation and are safe for patients with renal insufficiency or diabetes.
D. Renal scan: While renal scans can involve radioactive material, they are generally safer for assessing kidney function in these patients compared to an IV pyelogram.
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