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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. Encouraging the client to increase fluid intake would be inappropriate in this case, as the client already has a distended bladder and difficulty starting the urinary stream, which are signs of urinary retention.
B. While assisting the client in finding a comfortable position for voiding is important, it will not relieve the current urinary retention.
C. Teaching the client relaxation techniques is beneficial for overall health, but it will not address the immediate issue of urinary retention.
D. This is the correct answer. Catheterization is necessary to relieve urinary retention and drain the distended bladder.
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