A client is diagnosed with BPH and is experiencing difficulty starting a urine stream. The nurse should recognize this as a common symptom due to:
Prostate enlargement blocking the urethra
Bladder spasms causing urinary retention
Excessive fluid intake
An enlarged bladder compressing the urethra
The Correct Answer is A
A. This is the correct answer. Difficulty starting a urine stream is a common symptom of BPH and occurs because the enlarged prostate compresses the urethra, obstructing the flow of urine.
B. Bladder spasms causing urinary retention are not a typical symptom of BPH.
C. Excessive fluid intake may lead to increased urinary frequency, but it is not directly related to difficulty starting a urine stream in BPH.
D. An enlarged bladder compressing the urethra is not a common symptom of BPH. Instead, it is the enlarged prostate that causes the obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Difficulty starting the urinary stream and a feeling of incomplete bladder emptying are common symptoms of urinary retention, a complication of BPH. In BPH, the enlarged prostate obstructs the flow of urine from the bladder, leading to incomplete emptying and retention.
B. Hematuria, or blood in the urine, is not typically associated with BPH but may occur in other conditions affecting the urinary tract.
C. Stress incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing or sneezing, and is not specific to BPH.
D. Urgency is the sudden and strong need to urinate, and it is not specifically associated with BPH.
Correct Answer is B
Explanation
A. The prostate-specific antigen (PSA. test is not specific to BPH diagnosis. Elevated PSA levels can be seen in both BPH and prostate cancer, but it is not used solely for BPH diagnosis.
B. This is the correct answer. The PSA test is primarily used as a screening tool for prostate cancer. Elevated PSA levels may indicate the presence of prostate cancer and can prompt further evaluation.
C. The PSA test is not used to assess renal function. It is specifically related to prostate health and prostate cancer screening.
D. The evaluation of urinary flow rate is typically done through urodynamic studies and flowmetry tests, not the PSA test.
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