Author Question: A 19-year-old male client complains of burning while voiding. The health care practitioner diagnoses ... (Read 65 times)

SO00 · **on:** Jul 23, 2018

A 19-year-old male client complains of burning while voiding. The health care practitioner diagnoses urethritis and explains that it is caused by a pathogen that infects the urethra.

The client tells the nurse that his girlfriend had the same problem last week. The nurse knows that the most likely cause of the urethritis in this client is:
1. unrelated to his girlfriend's condition.
2. a descending bladder infection.
3. related to poor hygiene.
4. a sexually transmitted disease.

Question 2

A 45-year-old male client comes to the health care practitioner with symptoms of cystitis. The client also has a fever, and states that it is very hard for him to pass much urine.

The health care practitioner performs a rectal examination and finds tenderness. What is possibly causing this client's set of problems?
1. Bladder infection
2. Urethritis
3. Acute pyelonephritis
4. Cystitis with prostatitis

shaikhs · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: The fact that the client reports that his girlfriend had similar symptoms last week would indicate that the two conditions may be related.
Rationale 2: This client's symptoms appear to be confined to the urethra. Most UTIs ascend from the urethra to the bladder, and do not descend from the bladder to the urethra.
Rationale 3: There is nothing to indicate that poor hygiene is related to this client's condition.
Rationale 4: The fact that the client reports that his girlfriend had similar symptoms last week is indicative of the possibility of a sexually transmitted disease.
Global Rationale: The fact that the client reports that his girlfriend had similar symptoms last week is indicative of the possibility of a sexually transmitted disease. This client's symptoms appear to be confined to the urethra. Most UTIs ascend from the urethra to the bladder, and do not descend from the bladder to the urethra. There is nothing to indicate that poor hygiene is related to this client's condition.

Answer to Question 2

Correct Answer: 4
Rationale 1: A bladder infection is cystitis. This client does have cystitis, but also has symptoms of another condition.
Rationale 2: Symptoms of urethritis would include discomfort during voiding. There should not be fever or urinary obstruction.
Rationale 3: Symptoms of acute pyelonephritis include fever and flank pain. It would not cause urinary obstruction.
Rationale 4: This client demonstrates symptoms of cystitis with prostatitis. The prostate becomes inflamed and can cause fever and urinary obstruction.
Global Rationale: This client demonstrates symptoms of cystitis with prostatitis. The prostate becomes inflamed and can cause fever and urinary obstruction. A bladder infection is cystitis. This client does have cystitis, but also has symptoms of another condition. Symptoms of urethritis would include discomfort during voiding. There should not be fever or urinary obstruction. Symptoms of acute pyelonephritis include fever and flank pain. It would not cause urinary obstruction.