A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

Urinary retention

Urinary urgency

Urinary frequency

Nocturia

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Urinary retention refers to the inability to completely empty the bladder, leading to a sensation of fullness in the lower abdomen and difficulty voiding.

B. Urinary urgency is the sudden and strong desire to urinate.

C. Urinary frequency is the need to urinate more often than usual.

D. Nocturia is the need to wake up at night to urinate.

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Correct Answer is B

Explanation

A. Alpha-blockers do not directly reduce the size of the prostate gland. They work by relaxing the smooth muscles of the bladder neck and prostate, improving urinary flow and reducing obstructive voiding symptoms.

B. This is the correct answer. Alpha-blockers are commonly prescribed for BPH to relax the smooth muscles of the bladder neck and prostate, relieving the obstruction and improving urine flow.

C. Inhibiting the production of dihydrotestosterone (DHT) is the mechanism of action of 5-alpha reductase inhibitors, not alpha-blockers. DHT plays a role in prostate enlargement, and inhibiting its production can reduce the size of the prostate over time.

D. Alpha-blockers do not enhance urine production by the kidneys. They primarily focus on relaxing the smooth muscles to improve urinary flow.

Questions

A. Chronic kidney disease B. Urinary tract infections C. Prostate cancer D. Bladder stones

Correct Answer is D

Explanation

A. Chronic kidney disease is not directly related to hematuria in clients with BPH. Hematuria is not a typical symptom of kidney disease.

B. While urinary tract infections may cause hematuria, it is more commonly associated with bladder stones in clients with BPH.

C. Prostate cancer may cause hematuria, but it is less common than other potential complications.

D. This is the correct answer. Hematuria in clients with BPH may be due to the presence of bladder stones. Urinary retention and stasis can lead to the formation of stones in the bladder, which may cause bleeding and hematuria.

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A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

Correct Answer is B

Explanation

A client with BPH is experiencing recurrent episodes of hematuria. The nurse should recognize this as a potential complication due to:

Correct Answer is D

Explanation

A client with lower urinary tract symptoms (LUTS) seeks medical advice. The nurse anticipates that the initial diagnostic evaluation for BPH will likely include:

A client with suspected BPH is scheduled for a urodynamic study. The nurse should explain that this test is primarily used to:

A nurse is providing discharge teaching to a client who underwent a TURP for BPH. Which instruction should the nurse include regarding catheter care?

A nurse is assessing a client with BPH and notes that the client has a distended bladder and reports difficulty starting the urinary stream. What intervention should the nurse prioritize?

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

A client with BPH is prescribed a combination therapy of an alpha-blocker and a 5-alpha reductase inhibitor. The nurse should explain that this combination is used to:

A client with BPH is experiencing bothersome lower urinary tract symptoms (LUTS). The nurse should anticipate the healthcare provider to prescribe:

A client with suspected BPH is scheduled for a prostate-specific antigen (PS