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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:

A.

Prostate enlargement blocking the urethra

B.

Bladder spasms causing urinary retention

C.

Excessive fluid intake

D.

An enlarged bladder compressing the urethra

Answer and Explanation

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.


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Related Questions

Correct Answer is C

Explanation

A. A urodynamic study is not used to determine the size of the prostate gland. It is primarily focused on assessing bladder and urinary function.

B. A urodynamic study is not used to assess renal function and kidney health. It is a diagnostic test focused on evaluating the lower urinary tract and bladder function.

C. This is the correct answer. A urodynamic study is a diagnostic test used to evaluate the pressure and flow of urine during voiding. It provides valuable information about the lower urinary tract's function, including bladder capacity, detrusor muscle activity, and the presence of any obstructions or abnormalities.

D. A urodynamic study is not used to evaluate the bladder's capacity directly, but it does assess bladder function during voiding.

Correct Answer is B

Explanation

A. Relaxing the smooth muscles in the bladder neck is the action of alpha-blockers, not 5-alpha reductase inhibitors.

B. This is the correct answer. 5-alpha reductase inhibitors work by blocking the enzyme 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is involved in the growth of the prostate gland, and reducing its levels can help shrink the prostate and improve urinary flow in BPH.

C. Inhibiting bacterial growth in the prostate gland is the action of antibiotics, not 5-alpha reductase inhibitors.

D. Contracting the prostate gland is not a desired effect in BPH management.

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