The nurse suspects a patient is experiencing a distended bladder. Which patient statement did the nurse use to make this determination?
1. "I am in pain, and it is worse when I press on my abdomen."
2. "My back is killing me."
3. "It feels like someone is stabbing me in the abdomen with a knife."
4. "It hurts constantly with spasms once in a while."
Correct Answer: 1
The patient with a distended bladder experiences constant pain increased by any pressure over the bladder. Kidney pain is experienced in the back and the costovertebral angle (the angle between the lower ribs and adjacent vertebrae) and may spread toward the umbilicus. Renal colic (pain in response to renal calculi moving through the ureter) is severe, sharp, stabbing, and excruciating; often it is felt in the flank, bladder, urethra, testes, or ovaries. Bladder and urethral pain is usually dull and continuous but may be experienced as spasms.
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