Question

A patient states, "It burns and stings every time I pass urine." The nurse should make the conclusion that the patient is most likely experiencing:

1) Reflex incontinence
2) Stress incontinence
3) Retention of urine
4) An infection

Answer 1

A patient who experiences a burning and stinging sensation during urination is most likely suffering from a urinary tract infection (UTI), characterized by symptoms such as dysuria.

Step-by-step explanation:

When a patient states, "It burns and stings every time I pass urine," the nurse should most likely conclude that the patient is experiencing a urinary tract infection (UTI). This conclusion is based on the symptom of dysuria, which is a common sign of infection.

Urinary incontinence is a separate condition characterized by the uncontrolled leakage of urine and can take several forms, including stress incontinence and urge incontinence. Cystitis, an inflammation of the bladder often due to infection, can involve symptoms such as dysuria, pyuria, hematuria, and pain in the bladder area. Given that the primary symptom mentioned by the patient is a burning sensation during urination, which is more directly associated with a UTI, this would be the most likely diagnosis over forms of incontinence or urine retention.