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 B
Explanation
A. Scheduling a follow-up appointment in two years is too long of an interval for a client with BPH. Regular follow-up is essential for monitoring the condition and adjusting the treatment plan as needed.
B. This is the correct answer. Clients with BPH should have regular follow-up appointments, typically every six months, to monitor symptoms and treatment effectiveness.
C. Skipping follow-up appointments, even if the client is feeling better, is not advisable. Regular monitoring is essential to ensure optimal management of BPH.
D. Waiting for new symptoms to arise before seeking a follow-up appointment may delay necessary interventions and could lead to worsening of symptoms.
Correct Answer is C
Explanation
A. Radiation therapy is not a first-line treatment for BPH. It is primarily used for certain types of cancer treatment.
B. Hormone therapy may be used for advanced cases of BPH, but it is not typically the initial management.
C. This is the correct answer. Watchful waiting, also known as active surveillance, is often the initial management for mild to moderate BPH. It involves close monitoring of symptoms and the prostate's size without immediate intervention unless symptoms worsen or complications arise.
D. Invasive surgery is usually reserved for severe cases of BPH that do not respond to conservative management or when complications occur.
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