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colleen colleen
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Posts: 17076
11 years ago
A nurse is assessing a patient. Which of the following patient statements best alerts the nurse to the likelihood of the patient having a distended bladder?
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 hurt constantly with spasms once in a while.”
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11 years ago
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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