A client with BPH is experiencing bothersome lower urinary tract symptoms (LUTS). The nurse should anticipate the healthcare provider to prescribe:

A. This is the correct answer. A digital rectal examination (DRE. is typically the first step in the diagnostic evaluation of BPH. During a DRE, the healthcare provider can assess the size, shape, and consistency of the prostate gland to identify any enlargement or abnormalities.

B. The prostate-specific antigen (PSA. test is used to screen for prostate cancer, not specifically for BPH. While elevated PSA levels can be seen in both conditions, the DRE is usually the initial step for BPH evaluation.

C. Transrectal ultrasound (TRUS) is a diagnostic test used to assess the prostate gland's size and characteristics in more detail. It is often performed in conjunction with other tests, but it is not typically the initial step in the diagnostic evaluation of BPH.

D. A urinalysis is a general test used to assess the urine's appearance, specific gravity, and the presence of blood, proteins, and other substances. While it can provide information about kidney function and potential urinary tract infections, it is not specific to BPH.

A. Young age is not a risk factor for developing BPH. BPH is more common in older men, typically over the age of 50.

B. This is the correct answer. Family history of BPH is considered a risk factor, suggesting a genetic predisposition to developing the condition.

C. High intake of dairy products is not a well-established risk factor for BPH. However, some studies have suggested a potential link between calcium intake and BPH risk, but more research is needed.

D. A sedentary lifestyle may contribute to overall health issues but is not a specific risk factor for BPH.