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 C

Explanation

Choice A rationale:

"Medication adherence is unnecessary for BPH management." is not a correct statement.

Medications are often prescribed to manage BPH symptoms, such as alpha-blockers and 5-alpha reductase inhibitors.

Adherence to medication regimens is crucial for symptom control and preventing complications associated with untreated BPH.

Choice B rationale:

"You should only focus on emotional support; it's the most important intervention." is not a correct statement.

While emotional support is important in nursing care, it is not the sole or most important intervention for managing BPH.

BPH management typically involves a combination of lifestyle modifications, medication adherence, and, in some cases, surgical interventions.

Choice C rationale:

"Lifestyle modifications and medication adherence are essential components of care." is the correct statement.

Managing BPH often requires a holistic approach, which includes lifestyle modifications such as dietary changes and increased physical activity, along with medication adherence.

These interventions can help alleviate symptoms and improve the client's quality of life.

Choice D rationale:

"No interventions are required; BPH will resolve on its own." is not a correct statement.

BPH is a chronic condition that typically does not resolve on its own.

Without appropriate management, BPH symptoms can worsen over time, leading to complications like urinary retention.

Therefore, nursing interventions and medical management are necessary for BPH patients.

A. "Avoid physical activity to prevent prostate enlargement.” B. "Consume a diet rich in saturated fats and red meat.” C. "Maintain a healthy weight through regular exercise.” D. "Ignore any urinary symptoms as they are unrelated to BPH.”

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.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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