A client with BPH complains of difficulty starting a urine stream and a weak urine flow. The nurse should recognize these symptoms as indicative of:

Acute urinary retention

Urinary incontinence

Stress urinary incontinence

Obstructive voiding symptoms

Answer and Explanation

The Correct Answer is D

A. Acute urinary retention is characterized by the sudden inability to pass urine, resulting in severe pain and discomfort. Difficulty starting a urine stream and a weak urine flow are characteristic of obstructive voiding symptoms, not acute urinary retention.

B. Urinary incontinence refers to the involuntary loss of urine and is not associated with difficulty starting a urine stream or a weak urine flow.

C. Stress urinary incontinence is a type of urinary incontinence characterized by urine leakage during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not related to the symptoms described in the question.

D. This is the correct answer. Difficulty starting a urine stream and a weak urine flow are obstructive voiding symptoms commonly seen in clients with BPH due to the enlargement of the prostate gland, which obstructs the urethra.

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Correct Answer is B

Explanation

A. Limiting fluid intake to avoid urinary urgency is not necessary after a TURP. Adequate hydration is essential for promoting urinary flow and preventing urinary tract infections.

B. This is the correct answer. After a TURP, sexual activity is usually restricted for at least two weeks to allow for proper healing and to reduce the risk of complications, such as bleeding or infection.

C. Restricting walking and physical activity is not necessary after a TURP. Encouraging early ambulation is important for preventing complications and promoting recovery.

D. Avoiding sitting for extended periods is not a specific activity restriction after a TURP.

A. The procedure will involve a biopsy of the prostate gland. B. The client will need to fast for 8 hours before the procedure. C. An enema will be given before the procedure to cleanse the rectum. D. The client may experience mild discomfort during the procedure.

Correct Answer is D

Explanation

A. A transrectal ultrasound (TRUS) is a diagnostic imaging procedure that uses sound waves to create images of the prostate gland. It does not involve a biopsy of the prostate gland.

B. Fasting is not necessary for a transrectal ultrasound (TRUS). It is a non-invasive procedure and does not require any special preparation, such as fasting.

C. While a clean bowel is preferable for a transrectal ultrasound, it does not typically require an enema. The client may be asked to empty the rectum with a bowel movement before the procedure.

D. This is the correct answer. During a transrectal ultrasound (TRUS), a lubricated probe is inserted into the rectum to obtain images of the prostate gland. Some clients may experience mild discomfort or pressure during the procedure, but it is generally well-tolerated.

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A client with BPH complains of difficulty starting a urine stream and a weak urine flow. The nurse should recognize these symptoms as indicative of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the discharge instructions for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which activity restriction should the nurse include in the education?

Correct Answer is B

Explanation

A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

Correct Answer is D

Explanation

A nurse is teaching a client with BPH about the importance of regular follow-up appointments. Which statement by the client indicates understanding of the teaching?

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