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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Avoiding physical activity is not a recommended strategy to prevent BPH.
In fact, regular physical activity and exercise are associated with a lower risk of developing BPH.
Exercise helps maintain overall health and may contribute to prostate health as well.
Choice B rationale:
Consuming a diet rich in saturated fats and red meat is not a preventive strategy for BPH.
In fact, a diet high in saturated fats and red meat has been associated with an increased risk of BPH.
The nurse should advise against such dietary choices.
Choice D rationale:
Ignoring urinary symptoms is not a recommended strategy for BPH prevention.
Early detection and management of urinary symptoms are crucial in identifying BPH or other potential urological issues.
Ignoring symptoms can lead to delayed diagnosis and treatment.
Choice C rationale:
Maintaining a healthy weight through regular exercise is an important preventive strategy for BPH.
Obesity is a risk factor for BPH, and regular physical activity can help control body weight and reduce the risk of developing this condition.
Additionally, exercise can improve overall health and promote prostate health.
Correct Answer is C
Explanation
Choice A rationale:
"You should only focus on managing obesity to prevent BPH." Managing obesity can be a part of a healthy lifestyle, but it is not the sole prevention strategy for BPH.
BPH is a multifactorial condition, and promoting a healthy weight is just one aspect of overall prostate health.
Choice B rationale:
"Prevention of BPH involves avoiding all dairy products." Avoiding all dairy products is not an evidence-based strategy for preventing BPH.
While dietary factors can play a role in overall health, there is no conclusive evidence that eliminating dairy products prevents BPH.
In fact, some studies suggest that dairy consumption may be associated with a lower risk of BPH.
Choice D rationale:
"Preventing BPH is not possible; it is solely age-related." This statement is inaccurate.
While age is a significant risk factor for BPH, it is not the only factor, and prevention strategies can be implemented.
Lifestyle modifications, regular screenings, and healthy habits can contribute to reducing the risk and managing the condition.
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