A client with BPH is experiencing acute urinary retention.
What is the nurse's priority intervention?

"I should administer antibiotics immediately.”

"I'll prepare the client for surgery.”

"I'll insert a urinary catheter to relieve the obstruction.”

"I'll recommend lifestyle modifications.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Administering antibiotics may be necessary in some cases of acute urinary retention if there is an underlying infection, but the immediate priority is to relieve the obstruction causing the retention.

Antibiotics alone will not relieve the obstruction.

Choice B rationale:

Surgery may be considered as a treatment option for BPH, but it is not the immediate priority when a client is experiencing acute urinary retention.

The obstruction needs to be relieved promptly to prevent complications.

Choice C rationale:

Inserting a urinary catheter is the nurse's priority intervention in a client with acute urinary retention due to BPH.

This procedure helps drain the urine from the bladder and provides immediate relief from the obstruction.

Choice D rationale:

Recommending lifestyle modifications is important for managing BPH in the long term, but it is not the immediate priority when a client is experiencing acute urinary retention.

The client first needs urgent intervention to address the retention.

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Correct Answer is D

Explanation

Choice A rationale:

Monitoring blood pressure is not the top priority during the assessment of a client with suspected BPH.

While assessing blood pressure is essential in nursing care, in this context, it is not the most immediate concern.

BPH primarily affects the urinary system, so assessing urinary patterns and related symptoms should take precedence.

Choice B rationale:

Asking about dairy product consumption is not the top priority when assessing a client with suspected BPH.

While dietary factors can influence prostate health, the primary focus in the assessment should be on urinary symptoms and patterns related to BPH.

Choice C rationale:

Inquiring about the client's exercise routine is not the top priority during the assessment of a client with suspected BPH.

While exercise can be beneficial for overall health, it is not the immediate concern when assessing a client for BPH.

Urinary symptoms and patterns should be the main focus.

Choice D rationale:

Conducting a thorough urinary pattern assessment is the top priority during the assessment of a client with suspected BPH.

BPH primarily affects the urinary system by causing urinary obstruction and lower urinary tract symptoms.

Assessing urinary patterns, such as frequency, urgency, and difficulty in initiating and maintaining a urine stream, is crucial in evaluating the severity of the condition and planning appropriate interventions.

A. "I'll measure the patient's blood sugar levels.” B. "I'll assess the patient's joint mobility.” C. "I'll perform a digital rectal examination to assess the prostate.” D. "I'll check for signs of respiratory distress.”

Correct Answer is C

Explanation

Choice A rationale:

"I'll measure the patient's blood sugar levels." This choice is not relevant to the assessment of benign prostatic hyperplasia (BPH).

BPH primarily affects the prostate gland and does not have a direct connection to blood sugar levels.

Assessing blood sugar levels would be more pertinent in conditions like diabetes.

Choice B rationale:

"I'll assess the patient's joint mobility." Assessing joint mobility is unrelated to the evaluation of BPH.

Joint mobility assessments are typically performed in the context of musculoskeletal or orthopedic issues, not in the assessment of prostate conditions.

Choice D rationale:

"I'll check for signs of respiratory distress." Checking for signs of respiratory distress is not directly related to the assessment of BPH.

Respiratory distress is more commonly associated with lung or cardiac issues.

The primary focus in assessing BPH is the prostate gland and urinary symptoms, not respiratory symptoms.

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A client with BPH is experiencing acute urinary retention.What is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected BPH.What should the nurse prioritize during the assessment?

Correct Answer is D

Explanation

A nurse is performing a physical examination on a patient with suspected BPH.What specific assessment should the nurse include to evaluate the condition?

Correct Answer is C

Explanation

A nurse is assessing a patient with Polycystic Ovary Syndrome (PCOS). Which clinical presentations are commonly associated with PCOS? Select all that apply.

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A client with BPH is prescribed medication to manage the condition.What should the nurse emphasize to the client regarding nursing interventions?

A nurse is assessing a patient with benign prostatic hyperplasia (BPH).Which treatment option is most suitable for a patient with mild symptoms or who is asymptomatic?

A client with BPH is experiencing acute urinary retention.What is the nurse's priority intervention?

A nurse is discussing risk factors for Benign Prostatic Hyperplasia (BPH) with a group of patients.Which factors should the nurse include in the discussion?

A nurse is providing education to a group of older male clients about preventing Benign Prostatic Hyperplasia (BPH).Which statement by the nurse is accurate regarding prevention strategies?

A client with BPH is experiencing acute urinary retention.
What is the nurse's priority intervention?