The nurse is conducting an assessment on a client with hematuria. In order to determine whether the problem might be infection or some other disease, such as cancer, the nurse should ask the client about:
1. signs of urgency.
2. the presence of pain
3. nighttime voiding
4. incontinence
Answer: 2
1. Urgency is a sign of overactive detrusor muscle, and there is no hematuria.
2. One of the first signs of cancer of the bladder is painless hematuria. The nurse needs to ask the client whether there is any pain when the client has hematuria.
3. Getting up at night is seen in clients with hyperglycemia and clients with urinary retention.
4. Stress incontinence does not involve hematuria, and is due to malfunction of parts of the urinary tract.
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