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. Decreased urine production is not a common complication of BPH. Instead, BPH leads to urinary retention and incomplete bladder emptying.

B. This is the correct answer. BPH can lead to urinary retention, allowing bacteria to multiply and colonize the prostate, increasing the risk of recurrent UTIs.

C. Increased bladder capacity is not a complication of BPH. Instead, the enlarged prostate obstructs the flow of urine, leading to urinary retention and incomplete emptying.

D. Inadequate fluid intake may contribute to UTIs, but the primary reason for recurrent UTIs in BPH is the bacterial colonization of the prostate due to urinary retention.

A. Prevent recurrent urinary tract infections B. Improve erectile dysfunction C. Enhance the effects of both medications D. Reduce the risk of urinary incontinence

Correct Answer is C

Explanation

A. Preventing recurrent urinary tract infections is not the primary purpose of combination therapy with an alpha-blocker and a 5-alpha reductase inhibitor.

B. While some improvement in erectile function may occur with alpha-blockers, the primary purpose of the combination therapy is not to address erectile dysfunction.

C. This is the correct answer. The combination of an alpha-blocker and a 5-alpha reductase inhibitor is used to enhance the effects of both medications. Alpha-blockers help relieve urinary symptoms quickly by relaxing the smooth muscles of the prostate and bladder neck, while 5-alpha reductase inhibitors work over time to shrink the prostate and improve urinary flow.

D. Reducing the risk of urinary incontinence is not the primary goal of combination therapy with these medications.

Questions

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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 client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize this as a potential complication due to:

Correct Answer is B

Explanation

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:

Correct Answer is C

Explanation

A nurse is providing preoperative education to a client scheduled for a transurethral resection of the prostate (TURP) for BPH. The nurse should inform the client about the purpose of this surgical procedure, which is to:

A client with BPH is experiencing urinary frequency and urgency. Which dietary modification should the nurse recommend to the client to help manage these symptoms?

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?

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

A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

A nurse is educating a client about the symptoms of BPH. Which symptom should the nurse include in the teaching as a potential complication of BPH?

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?