A client with BPH is experiencing recurrent episodes of hematuria. The nurse should recognize this as a potential complication due to:

A. A transrectal ultrasound (TRUS) is a diagnostic imaging procedure that uses sound waves to create images of the prostate gland. It does not involve a biopsy of the prostate gland.

B. Fasting is not necessary for a transrectal ultrasound (TRUS). It is a non-invasive procedure and does not require any special preparation, such as fasting.

C. While a clean bowel is preferable for a transrectal ultrasound, it does not typically require an enema. The client may be asked to empty the rectum with a bowel movement before the procedure.

D. This is the correct answer. During a transrectal ultrasound (TRUS), a lubricated probe is inserted into the rectum to obtain images of the prostate gland. Some clients may experience mild discomfort or pressure during the procedure, but it is generally well-tolerated.

A. Decreased urine production is not a common complication of BPH. Instead, BPH leads to urinary retention and incomplete bladder emptying.

B. This is the correct answer. BPH can lead to urinary retention, allowing bacteria to multiply and colonize the prostate, increasing the risk of recurrent UTIs.

C. Increased bladder capacity is not a complication of BPH. Instead, the enlarged prostate obstructs the flow of urine, leading to urinary retention and incomplete emptying.

D. Inadequate fluid intake may contribute to UTIs, but the primary reason for recurrent UTIs in BPH is the bacterial colonization of the prostate due to urinary retention.