A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

The patient is lonely and calling then nurse in under false pretenses is a way to get attention.

The patient does not recognize the physiological signals that indicate a need to void.

The patient is not drinking enough fluids to produce adequate urine output.

The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void.

Answer and Explanation

The Correct Answer is D

A. The patient is lonely and calling the nurse under false pretenses. This is an inappropriate assumption. The patient may be experiencing urinary hesitancy due to anxiety, not seeking attention.

B. The patient does not recognize the physiological signals that indicate a need to void. The patient recognized the need to void but is having difficulty due to psychological factors (e.g., anxiety, privacy concerns).

C. The patient is not drinking enough fluids to produce adequate urine output. The patient felt the urge to void, meaning they do have urine in the bladder. The issue is likely related to difficulty initiating urination rather than fluid intake.

D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Paruresis ("shy bladder syndrome") can make it difficult to void in the presence of others due to anxiety or embarrassment.

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Correct Answer is ["A","B","C"]

Explanation

A. Urgency: Antimuscarinic medications reduce bladder contractions, thereby decreasing the sudden urge to urinate.

B. Frequency: These medications help by increasing bladder capacity and reducing the need to urinate frequently.

C. Dysuria: Some antimuscarinics can alleviate bladder irritation, which may improve dysuria (painful urination) in certain conditions.

D. Prostate size: Antimuscarinics do not reduce prostate size. Medications like 5-alpha reductase inhibitors (e.g., finasteride) are used for this purpose.

E. Bladder infection: Antimuscarinics do not treat infections. Antibiotics are required to treat bladder infections (UTIs).

A. "It is not normal to see food particles in the stool," B. "Some people with colorectal cancer have unexplained abdominal or back pain." C. "Blood in the stool is one warning sign I need to look for." D. "I need to let my doctor know if my bowel habits start to change." E. "Muscle aches are common in people with colorectal cancer."

Correct Answer is ["B","C","D"]

Explanation

A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.

B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.

C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.

D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.

E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.

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A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

Which patient is most at risk for increased peristalsis

The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?

A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Which nursing intervention decreases the risk for CAUTI (Catheter-Associated Urinary Tract Infections)?

The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

An 85-year-old client is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the client's plan of care?