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 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.
Correct Answer is C
Explanation
A. Prostate massage is not recommended for clients with urinary retention due to BPH. It can cause the spread of infection or worsen inflammation.
B. The double voiding technique is used to empty the bladder more completely, but it may not be effective in cases of urinary retention.
C. This is the correct answer. Catheterization is often necessary to relieve urinary retention in clients with BPH. It involves inserting a catheter into the bladder to drain the urine.
D. Pelvic floor exercises are helpful for strengthening pelvic muscles but are not a primary intervention for relieving urinary retention.
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