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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Increased urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.

B. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.

C. Decreased fluid intake may contribute to urinary stasis and an increased risk of UTIs, but it is not specific to BPH.

D. Reduced bladder capacity is not a contributing factor to recurrent UTIs in BPH.

A. Remove the entire prostate gland B. Relieve urinary retention C. Reduce prostate size D. Improve fertility

Correct Answer is C

Explanation

A. Transurethral resection of the prostate (TURP) is a surgical procedure that removes only a portion of the enlarged prostate gland, not the entire gland.

B. This is a potential benefit of TURP, but the primary purpose of the procedure is to reduce the size of the prostate to relieve urinary obstruction and improve urinary flow.

C. This is the correct answer. TURP is performed to reduce the size of the prostate gland, which is causing urinary obstruction due to BPH.

D. TURP does not have a direct impact on fertility, as it does not affect the production or release of sperm.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize that this complication is likely due to:

Correct Answer is B

Explanation

A nurse is providing preoperative education to a client scheduled for a transurethral resection of the prostate (TURP) for BPH. The nurse should inform the client about the purpose of this surgical procedure, which is to:

Correct Answer is C

Explanation

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