Page 1891 - Saunders Comprehensive Review For NCLEX-RN

Test-Taking Strategy: Any disorder that ends in -itis results from inflammation or
infection. Therefore, an expected finding would be elevated temperature. With this
in mind, eliminate options 2 and 4 because they are comparable or alike and do not
contain fever as part of the option. Knowing that ecchymosis results from bleeding,
which is not part of this clinical picture, directs you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Renal and Urinary
Health Problem: Adult Health: Renal and Urinary: Inflammation/Infections
Priority Concepts: Infection; Inflammation
Reference: Lewis et al. (2017), p. 1284.

649. Answer: 4

Rationale: The client with bacterial prostatitis has a swollen and tender prostate
gland that is also warm to the touch, firm, and indurated. Systemic symptoms
include fever with chills, perineal and low back pain, and signs of urinary tract
infection, which often accompany the disorder.
Test-Taking Strategy: Focus on the subject, manifestations of bacterial prostatitis.
Begin to answer this question by reasoning that inflammation of the prostate gland
would cause the area to be tender. This would allow you to eliminate options 1 and
2. Recalling that inflammation is accompanied by local warmth will direct you to the
correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Renal and Urinary
Health Problem: Adult Health: Renal and Urinary: Inflammation/Infections
Priority Concepts: Infection; Inflammation
Reference: Lewis et al. (2017), p. 1282-1283.

650. Answer: 4

Rationale: Decreased force in the stream of urine is an early symptom of benign
prostatic hyperplasia. The stream later becomes weak and dribbling. The client then
may develop hematuria, frequency, urgency, urge incontinence, and nocturia. If
untreated, complete obstruction and urinary retention can occur. Constipation or
scrotal edema is not associated with benign prostatic hyperplasia.
Test-Taking Strategy: Note the strategic word, early. Also, if you know that
benign prostatic hyperplasia can lead to urinary obstruction, look for the option that
identifies the least severe symptom.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Renal and Urinary
Health Problem: Adult Health: Renal and Urinary: Obstructive problems

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