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. Young age is not a risk factor for developing BPH. BPH is more common in older men, typically over the age of 50.

B. This is the correct answer. Family history of BPH is considered a risk factor, suggesting a genetic predisposition to developing the condition.

C. High intake of dairy products is not a well-established risk factor for BPH. However, some studies have suggested a potential link between calcium intake and BPH risk, but more research is needed.

D. A sedentary lifestyle may contribute to overall health issues but is not a specific risk factor for BPH.

A. Relaxing the smooth muscles in the bladder neck B. Blocking the conversion of testosterone to dihydrotestosterone (DHT) C. Inhibiting bacterial growth in the prostate gland D. Contracting the prostate gland

Correct Answer is B

Explanation

A. Relaxing the smooth muscles in the bladder neck is the action of alpha-blockers, not 5-alpha reductase inhibitors.

B. This is the correct answer. 5-alpha reductase inhibitors work by blocking the enzyme 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is involved in the growth of the prostate gland, and reducing its levels can help shrink the prostate and improve urinary flow in BPH.

C. Inhibiting bacterial growth in the prostate gland is the action of antibiotics, not 5-alpha reductase inhibitors.

D. Contracting the prostate gland is not a desired effect in BPH management.

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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 educating a client about risk factors for developing BPH. Which risk factor should the nurse include in the teaching?

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

A nurse is reviewing the results of a client's urinalysis as part of the diagnostic evaluation for BPH. Which finding should the nurse expect to be associated with BPH?

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

A nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve:

A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as:

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 prescribed an alpha-blocker medication. The nurse should instruct the client about which potential side effect of this medication?

A client with BPH complains of dribbling and difficulty fully emptying the bladder after urination. The nurse should identify these symptoms as indicative of:

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