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Practice Question

A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?

Answer Choices:

Correct Answer:

The client is unable to empty the bladder effectively.

Rationale:

🌸 A bladder scan revealing 400 mL of retained urine indicates clinically significant urinary retention.

🌸 Voiding only 60 mL with suprapubic discomfort strongly suggests incomplete bladder emptying.

🌸 Benign prostatic hyperplasia (BPH) commonly causes obstruction that prevents normal urine flow.

🌸 This level of retention is not expected after catheter removal and requires prompt evaluation.

🌸 Untreated urinary retention increases the risk for infection, bladder damage, and renal impairment.

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This question is from Chamberlain Mastery Fundamentals Exam which contains 77 questions.

More Practice Questions
A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?

Answer Choices:

A. Encourage the client to reduce their fluid intake.
B. Document the finding as a normal variation due to age.
C. Refer the client to a urologist for bladder training.
D. Ask the client about the frequency and severity.
A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?

Answer Choices:

A. An older adult who lives alone and enjoys grocery shopping and cooking.
B. A single caregiver with an adequate income who lives far from the store.
C. A middle-aged adult who pays for private health insurance.
D. A single parent who has a low income and is living with their parents.
The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.

Answer Choices:

A. Sit quietly with the client and allow time for them to speak.
B. Begin discussing the client’s medical history to fill the silence.
C. Tell the client, “I’ll come back when you’re ready to talk.”
D. Encourage the client to talk by asking multiple questions quickly.
E. Ask, “Would you prefer to talk later or have someone else present?”
A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.

Answer Choices:

A. Massage the client's calves vigorously to stimulate blood flow.
B. Apply compression stockings to the lower extremities.
C. Encourage early ambulation once it is ordered for the client.
D. Instruct the client to perform leg exercises regularly while in bed.
E. Elevate the client's legs above heart level for extended periods.
From Exam
Chamberlain Mastery Fundamentals Exam

77 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: Examplify/Examsoft Exams
  • Domain: FUNDAMENTALS OF NURSING - EXAMSOFT
  • Answer Choices: 4
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