A client with BPH is experiencing difficulty starting the urine stream and a weak urinary flow. The nurse should identify these symptoms as indicative of:

Stress urinary incontinence

Overflow urinary incontinence

Urinary retention

Urge urinary incontinence

Answer and Explanation

The Correct Answer is C

A. Stress urinary incontinence is the involuntary loss of urine due to activities that increase intra-abdominal pressure, such as coughing or sneezing. It is not related to the symptoms described in the question.

B. Overflow urinary incontinence is characterized by a constant dribbling of urine due to an overdistended bladder. It is typically seen in conditions that obstruct urine flow, such as BPH, but it does not present as difficulty starting the urine stream and a weak flow.

C. This is the correct answer. Difficulty starting the urine stream and a weak urinary flow are common symptoms of urinary retention, a condition in which the bladder does not fully empty during voiding due to an obstruction, such as an enlarged prostate in BPH.

D. Urge urinary incontinence is characterized by a sudden, strong urge to urinate, followed by involuntary urine loss. It is not related to the symptoms described in the question.

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Correct Answer is A

Explanation

A. This is the correct answer. Alpha-blockers are commonly prescribed as the first-line medication for BPH. They relax the smooth muscles in the prostate and bladder neck, improving urinary flow and reducing LUTS.

B. Antibiotics are prescribed if the client has a urinary tract infection, but they do not directly address BPH symptoms.

C. Diuretics are not typically used to treat BPH.

D. Anticholinergics are used to treat overactive bladder symptoms, which are not specific to BPH-related LUTS.

A. Acute urinary retention B. Urinary incontinence C. Stress urinary incontinence D. Obstructive voiding symptoms

Correct Answer is D

Explanation

A. Acute urinary retention is characterized by the sudden inability to pass urine, resulting in severe pain and discomfort. Difficulty starting a urine stream and a weak urine flow are characteristic of obstructive voiding symptoms, not acute urinary retention.

B. Urinary incontinence refers to the involuntary loss of urine and is not associated with difficulty starting a urine stream or a weak urine flow.

C. Stress urinary incontinence is a type of urinary incontinence characterized by urine leakage during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not related to the symptoms described in the question.

D. This is the correct answer. Difficulty starting a urine stream and a weak urine flow are obstructive voiding symptoms commonly seen in clients with BPH due to the enlargement of the prostate gland, which obstructs the urethra.

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A client with BPH is experiencing difficulty starting the urine stream and a weak urinary flow. The nurse should identify these symptoms as indicative of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A client with BPH complains of difficulty starting a urine stream and a weak urine flow. The nurse should recognize these symptoms as indicative of:

Correct Answer is D

Explanation

A client asks the nurse, "What is Benign Prostatic Hyperplasia?" Which response by the nurse is most appropriate?

A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

A client with BPH is experiencing nocturia and has reported difficulty sleeping due to frequent nighttime urination. The nurse should recognize these symptoms as related to:

A nurse is caring for a client with BPH who has a urinary catheter in place after experiencing acute urinary retention. The nurse should monitor the client for which potential complication related to the catheter?

A nurse is educating a client about the symptoms of BPH. Which symptom should the nurse include in the teaching as a potential complication of BPH?

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by: