Author Question: Which of the following pain descriptions would lead the nurse to suspect the client is experiencing ... (Read 28 times)

storky111 · **on:** Jun 25, 2018

Which of the following pain descriptions would lead the nurse to suspect the client is experiencing ureteral colic?

A) Right upper quadrant pain that worsens with deep breaths and palpation
B) Excruciating pain in the flank and upper outer quadrant of the abdomen that radiates to the bladder area
C) Pain described as fire poking in their side, pulsating with every heart beat but decreases when in fetal position
D) Perineal pain that increases when urinating and then lessens until the time to urinate again

Question 2

Which of the following individuals are likely to display identified risk factors for the development of lower urinary tract obstruction? Select all that apply.

A)
A 32-year-old woman who had a healthy delivery of her third child 4 months ago
B)
A 68-year-old man who has been diagnosed with benign prostatic hyperplasia (BPH)
C)
A 55-year-old man with diabetes who is receiving diuretic medications for the treatment of hypertension
D)
A 30-year-old woman who has been diagnosed with gonorrhea
E)
A 74-year-old woman who has developed a lower bowel obstruction following several weeks of chronic constipation
F)
A 20-year-old man who has spina bifida and consequent impaired mobility.

sierramartinez · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

Classic ureteral colic is manifested by acute, intermittent, and excruciating pain in the flank and upper outer quadrant of the abdomen on the affected side. The pain may radiate to the lower abdominal quadrant, bladder area, perineum, or scrotum in the man.

Answer to Question 2

Ans:
B, D, E, F

Feedback:

BPH frequently obstructs the urethra, while sexually transmitted diseases, bowel obstructions, and spina bifida are also associated with physical blockages of the lower urinary tract. Postpartum women and individuals receiving diuretics would be more likely to be at risk for incontinence rather than urinary retention.