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 C

Explanation

A. Increasing calcium intake is not specifically indicated for managing urinary frequency and urgency in clients with BPH.

B. Limiting fluid intake, especially in the evening, may help reduce nighttime urination, but it is not advisable to restrict fluids excessively, as dehydration can lead to other health problems.

C. This is the correct answer. Caffeine and alcohol are diuretics that can increase urine production and exacerbate urinary frequency and urgency in clients with BPH. Recommending the avoidance of these substances may help alleviate symptoms.

D. Eating a high-protein diet is not specifically indicated for managing urinary frequency and urgency in clients with BPH.

Questions

A. Digital rectal exam (DRE) B. Prostate-specific antigen (PSA) blood test C. Transrectal ultrasound (TRUS) D. Urinalysis

Correct Answer is A

Explanation

A) This is the correct answer. A digital rectal exam (DRE) involves the insertion of a gloved, lubricated finger into the rectum to feel the size, shape, and texture of the prostate gland. It helps assess for enlargement and any abnormalities.

B) The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood, which may be elevated in various prostate conditions, including BPH. However, it does not directly assess the size and shape of the prostate gland.

C) Transrectal ultrasound (TRUS) uses sound waves to create images of the prostate gland and is used to assess the prostate's size and identify any abnormalities.

D) Urinalysis is a urine test that evaluates the urine's physical and chemical properties but does not directly assess the size and shape of the prostate gland.

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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:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

Correct Answer is A

Explanation

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