Answer to Question 1
ANS: 4
With retention the client may void small amounts of urine 2 or 3 times an hour with no real relief of discomfort or may continually dribble urine. Be aware of the volume and frequency of voiding to assess this condition in the client. The alert, oriented client can be asked to notify the nurse each time micturition occurs. The remaining options are more generalized or specific for a urinary tract infection.
Answer to Question 2
ANS: 3
Clients with lower UTIs have pain or burning during urination (dysuria) as urine flows over in-flamed tissues. Fever, chills, nausea, vomiting, and malaise develop as the infection worsens. An irritated bladder (cystitis) causes a frequent and urgent sensation of the need to void. Irritation to bladder and urethral mucosa results in blood-tinged urine (hematuria). The urine appears concen-trated and cloudy because of the presence of WBCs or bacteria. If infection spreads to the upper urinary tract (kidneyspyelonephrit is, a serious renal condition), flank pain, tenderness, fever, and chills are common. The remaining options identify general symptoms that are not condition specific.