A client with Benign Prostatic Hyperplasia (BPH) asks the nurse about the cause of their urinary symptoms.
Which response by the nurse accurately explains the pathophysiology of BPH?
"BPH occurs due to an excess of estrogen in the body.”
"The prostate gland shrinks in size, causing urinary symptoms.”
"Hormonal changes, particularly an increase in DHT, lead to prostate tissue overgrowth.”
"BPH is caused by an infection in the urinary tract.”
The Correct Answer is C
Choice A rationale:
This statement is incorrect.
BPH is not primarily caused by an excess of estrogen.
While hormonal changes are involved, it is the increase in dihydrotestosterone (DHT), a derivative of testosterone, that leads to prostate tissue overgrowth.
Choice B rationale:
This statement is incorrect.
The prostate gland in BPH does not shrink but rather enlarges, leading to urinary symptoms.
Choice C rationale:
This is the correct answer.
BPH is caused by hormonal changes, particularly an increase in dihydrotestosterone (DHT), which leads to prostate tissue overgrowth.
Choice D rationale:
This statement is incorrect.
BPH is not caused by an infection in the urinary tract.
While urinary tract infections (UTIs) can cause similar symptoms, they are not the underlying cause of BPH.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"You should avoid all physical activity to prevent worsening of your condition." Avoiding all physical activity is not a recommended strategy for managing or preventing BPH.
In fact, regular physical activity can have positive effects on overall health, including maintaining a healthy weight and promoting prostate health.
Choice C rationale:
"Only focus on managing diabetes; it has no impact on BPH." While managing diabetes is essential for overall health, it may not directly impact BPH development or progression.
BPH is influenced by various factors, including age and hormonal changes, but diabetes management alone may not prevent BPH.
Choice D rationale:
"Surgical interventions are the only way to prevent complications." This statement is not accurate.
Surgical interventions are typically considered when conservative treatments fail to alleviate symptoms or when complications arise.
They are not used as a primary prevention strategy for BPH.
Lifestyle changes, medication, and regular monitoring are the initial approaches to managing BPH and preventing complications.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Avoiding drinking water throughout the day is not an appropriate self-management strategy for BPH.
It's important for individuals with BPH to stay adequately hydrated, and excessive fluid restriction can lead to other health issues.
Choice B rationale:
Kegel exercises can help improve bladder control by strengthening the pelvic floor muscles.
This is a beneficial self-management strategy for BPH patients as it can help reduce urinary symptoms.
Choice C rationale:
Limiting caffeine and alcohol intake is a recommended self-management strategy for BPH.
Both caffeine and alcohol can irritate the bladder and worsen urinary symptoms, so reducing their consumption can be helpful.
Choice D rationale:
Avoiding exercise is not a suitable self-management strategy for BPH.
Regular physical activity can actually be beneficial for BPH patients as it can help maintain overall health and reduce the risk of obesity, which is a risk factor for BPH.
Choice E rationale:
Maintaining a healthy weight through proper diet is an important self-management strategy for BPH.
Obesity is a risk factor for BPH, and losing weight or maintaining a healthy weight can help reduce the severity of symptoms.
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