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:
Decreased bladder capacity
Nocturnal enuresis
Hormonal changes
Urinary retention
The Correct Answer is A
A. This is the correct answer. Nocturia and frequent nighttime urination in clients with BPH are often due to decreased bladder capacity. BPH causes obstruction of the urinary outflow, leading to incomplete bladder emptying during the day and increased urine volume at night.
B. Nocturnal enuresis refers to involuntary nighttime urination in children and is not relevant to this scenario.
C. While hormonal changes may play a role in the development of BPH, they are not directly related to nocturia and frequent nighttime urination.
D. Urinary retention may cause decreased frequency of urination rather than nocturia and frequent nighttime urination.
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Related Questions
Correct Answer is D
Explanation
A. Chronic kidney disease is not directly related to hematuria in clients with BPH. Hematuria is not a typical symptom of kidney disease.
B. While urinary tract infections may cause hematuria, it is more commonly associated with bladder stones in clients with BPH.
C. Prostate cancer may cause hematuria, but it is less common than other potential complications.
D. This is the correct answer. Hematuria in clients with BPH may be due to the presence of bladder stones. Urinary retention and stasis can lead to the formation of stones in the bladder, which may cause bleeding and hematuria.
Correct Answer is C
Explanation
A. Radiation therapy is not a first-line treatment for BPH. It is primarily used for certain types of cancer treatment.
B. Hormone therapy may be used for advanced cases of BPH, but it is not typically the initial management.
C. This is the correct answer. Watchful waiting, also known as active surveillance, is often the initial management for mild to moderate BPH. It involves close monitoring of symptoms and the prostate's size without immediate intervention unless symptoms worsen or complications arise.
D. Invasive surgery is usually reserved for severe cases of BPH that do not respond to conservative management or when complications occur.
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