An older male patient comes to the clinic with complaints of chills, malaise, myalgia, localized pain, dysuria, nocturia, and urinary retention. The nurse would most likely suspect that the pa-tient has
a. acute cystitis.
b. urinary tract infection.
c. pyelonephritis.
d. prostatitis.
D
The nurse should suspect prostatitis, which is manifested by high fever, chills, malaise, myalgia, and localized pain and may also be manifested by dysuria, nocturia, and urinary urgency, fre-quency, and retention.
Clinical manifestations of acute cystitis include dysuria, urinary urgency and frequency, supra-pubic discomfort, pyuria, and bacteruria.
Urinary tract infections are very general and are classified by their location.
Pyelonephritis is characterized by fever, chills, severe flank pain, dysuria, urinary frequency and urgency, as well as pyuria and bacteruria.
You might also like to view...
A nurse is working with a cultural group that has many proscriptions against women seeking health care. What action by women in this community would indicate that they have successfully negotiated a new role in seeking care?
A. Are able to make and keep medical appointments B. Can afford to pay for desired health-care services C. Follow their traditional roles and responsibilities D. Seek health-care advice from family members
The nurse who uses his or her whole self to achieve the moral ideal when caring for the patient with mental illness is providing care most closely associated with which nursing theorist?
1. Patricia Benner 2. Martha Rogers 3. Hildegard Peplau 4. Florence Nightingale
The nurse notes in a 2-hour postoperative laminectomy patient that there has been no urinary output. The nurse should:
1. continue to monitor. 2. inform the charge nurse. 3. perform intermittent catheterizations. 4. turn the patient to the right side.
The nurse caring for a patient with HIV infection who is taking Retrovir, a nucleoside antiviral that is a reverse transcriptase inhibitor, should be especially observant for symptoms of:
1. decreased urine output. 2. hypertensive episodes. 3. jaundice. 4. edema of the face.