A client with BPH complains of dribbling and difficulty fully emptying the bladder after urination. The nurse should identify these symptoms as indicative of:
Overflow urinary incontinence
Stress urinary incontinence
Postvoid dribbling
Urinary urgency
The Correct Answer is C
A. Overflow urinary incontinence is characterized by constant or frequent dribbling of urine due to the bladder's inability to empty fully. It is not specifically related to postvoid dribbling.
B. Stress urinary incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not directly related to postvoid dribbling.
C. This is the correct answer. Postvoid dribbling refers to the leakage of urine that occurs immediately after completing urination. It is often seen in clients with BPH due to the enlarged prostate obstructing the urethra, leading to incomplete bladder emptying and residual urine left in the urethra.
D. Urinary urgency is the sudden and strong desire to urinate and is not specifically related to postvoid dribbling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. A digital rectal examination (DRE. is typically the first step in the diagnostic evaluation of BPH. During a DRE, the healthcare provider can assess the size, shape, and consistency of the prostate gland to identify any enlargement or abnormalities.
B. The prostate-specific antigen (PSA. test is used to screen for prostate cancer, not specifically for BPH. While elevated PSA levels can be seen in both conditions, the DRE is usually the initial step for BPH evaluation.
C. Transrectal ultrasound (TRUS) is a diagnostic test used to assess the prostate gland's size and characteristics in more detail. It is often performed in conjunction with other tests, but it is not typically the initial step in the diagnostic evaluation of BPH.
D. A urinalysis is a general test used to assess the urine's appearance, specific gravity, and the presence of blood, proteins, and other substances. While it can provide information about kidney function and potential urinary tract infections, it is not specific to BPH.
Correct Answer is B
Explanation
A. Urinary urgency is a common symptom of BPH but not necessarily a complication.
B. This is the correct answer. Erectile dysfunction (ED. is a potential complication of BPH. The enlarged prostate can compress the prostatic nerves and affect erectile function.
C. Stress urinary incontinence is not a typical complication of BPH. It is more commonly associated with other conditions, such as weakened pelvic floor muscles.
D. Increased urine output is not a typical complication of BPH. BPH primarily affects the outflow of urine, resulting in obstructive voiding symptoms.
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