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

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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Correct Answer is A

Explanation

A) This is the correct answer. A digital rectal exam (DRE) involves the insertion of a gloved, lubricated finger into the rectum to feel the size, shape, and texture of the prostate gland. It helps assess for enlargement and any abnormalities.

B) The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood, which may be elevated in various prostate conditions, including BPH. However, it does not directly assess the size and shape of the prostate gland.

C) Transrectal ultrasound (TRUS) uses sound waves to create images of the prostate gland and is used to assess the prostate's size and identify any abnormalities.

D) Urinalysis is a urine test that evaluates the urine's physical and chemical properties but does not directly assess the size and shape of the prostate gland.

A. Overflow urinary incontinence B. Stress urinary incontinence C. Postvoid dribbling D. Urinary urgency

Correct Answer is C

Explanation

A. Overflow urinary incontinence is characterized by constant or frequent dribbling of urine due to the bladder's inability to empty fully. It is not specifically related to postvoid dribbling.

B. Stress urinary incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not directly related to postvoid dribbling.

C. This is the correct answer. Postvoid dribbling refers to the leakage of urine that occurs immediately after completing urination. It is often seen in clients with BPH due to the enlarged prostate obstructing the urethra, leading to incomplete bladder emptying and residual urine left in the urethra.

D. Urinary urgency is the sudden and strong desire to urinate and is not specifically related to postvoid dribbling.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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