A client with BPH is experiencing acute urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:
Frequent catheterization
Medications to reduce bladder spasms
Invasive surgical intervention
Increased fluid intake
The Correct Answer is A
A. This is the correct answer. In cases of acute urinary retention, immediate relief is achieved through catheterization to drain the bladder and relieve the obstruction caused by the enlarged prostate.
B. Medications to reduce bladder spasms may be used as an adjunct to catheterization in managing urinary retention but are not the primary intervention for relieving the obstruction.
C. Invasive surgical intervention may be considered for persistent or severe cases of BPH, but it is not the initial step in managing acute urinary retention.
D. Increased fluid intake may be beneficial for overall bladder health but will not directly relieve the obstruction causing acute urinary retention.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Nocturia and frequent nighttime urination in clients with BPH are often due to decreased bladder capacity. BPH causes obstruction of the urinary outflow, leading to incomplete bladder emptying during the day and increased urine volume at night.
B. Nocturnal enuresis refers to involuntary nighttime urination in children and is not relevant to this scenario.
C. While hormonal changes may play a role in the development of BPH, they are not directly related to nocturia and frequent nighttime urination.
D. Urinary retention may cause decreased frequency of urination rather than nocturia and frequent nighttime urination.
Correct Answer is C
Explanation
A. While urinary tract infections can occur in clients with BPH, they do not typically present with severe pain in the lower abdomen, groin, and testicles.
B. Testicular cancer does not typically cause pain in the lower abdomen and is not directly related to BPH.
C. This is the correct answer. Severe pain in the lower abdomen, groin, and testicles can be indicative of kidney stones, which may occur as a complication of BPH. Urinary retention and stasis in the bladder can lead to the formation of stones.
D. Prostate cancer may cause symptoms similar to BPH, but sudden severe pain in the lower abdomen, groin, and testicles is not a typical presentation of prostate cancer.
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