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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Reduced urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.

B. Increased fluid intake is not directly related to the risk of recurrent UTIs in BPH.

C. Decreased prostate size is not associated with recurrent UTIs in BPH.

D. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?

Correct Answer is D

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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