The nurse is visiting the patient who has a nursing diagnosis of Alteration in urinary elimination,retention.On assessment,the nurse anticipates that this patient will exhibit which of the following?

A) Severe flank pain and hematuria.
B) Pain and burning on urination.
C) A loss of the urge to void.
D) A feeling of pressure and voiding of small amounts.

Question

victoria rulapaugh · Accepted Answer

Final Answer : D, Explanation :  With urinary retention,urine continues to collect in the bladder,stretching its walls and causing feelings of pressure,discomfort,tenderness over the symphysis pubis,restlessness,and diaphoresis.The sphincter temporarily opens to allow a small volume of urine (<75 mL)to escape,with no real relief of discomfort.Severe flank pain and hematuria are data indicating an upper UTI (pyelonephritis).Pain and burning on urination are symptoms of a lower UTI (such as a bladder infection).Data indicating reflex incontinence would include a loss of the urge to void.

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