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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A: "I should be concerned about BPH if I have a family history of heart disease."
Choice A rationale: There is a possible association between cardiovascular disease and BPH due to shared risk factors, such as age, obesity, and hypertension. Therefore, having a family history of heart disease might indicate a predisposition to BPH.
Choice B rationale: BPH is more common in older men, as age is a significant risk factor. The risk of developing BPH increases with age, so younger men are less likely to experience it.
Choice C rationale: Hormonal changes, specifically those related to aging and androgen hormones like testosterone, are thought to contribute to the development of BPH. Therefore, it is not correct to say that hormonal changes have no role in BPH.
Choice D rationale: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and managing stress, can help reduce the risk of developing BPH or alleviate its symptoms. Therefore, it is incorrect to say that lifestyle has no impact on BPH risk.
Correct Answer is B
Explanation
Choice A rationale:
Anticoagulants are not used to treat BPH.
Anticoagulants are medications that help prevent blood clot formation, not related to managing BPH symptoms or reducing prostate size.
Choice B rationale:
Alpha-blockers like tamsulosin are commonly prescribed for clients with BPH.
These medications help relax the muscles in the prostate and bladder neck, reducing urinary symptoms such as difficulty urinating and frequent urination.
They do not affect blood thickness or clotting.
Choice C rationale:
Antifungal drugs are used to treat fungal infections and have no role in managing BPH symptoms or reducing prostate size.
Choice D rationale:
Antidepressants are not typically prescribed to manage BPH symptoms or pain associated with BPH.
They are used to treat mood disorders and are not relevant to this condition.
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