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

Chronic kidney disease

Urinary tract infections

Prostate cancer

Bladder stones

Answer and Explanation

The Correct Answer is D

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.

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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.

A. Reducing the size of the prostate B. Relaxing the smooth muscles of the bladder neck and prostate C. Inhibiting the production of dihydrotestosterone (DHT) D. Enhancing urine production by the kidneys

Correct Answer is B

Explanation

A. Alpha-blockers do not directly reduce the size of the prostate gland. They work by relaxing the smooth muscles of the bladder neck and prostate, improving urinary flow and reducing obstructive voiding symptoms.

B. This is the correct answer. Alpha-blockers are commonly prescribed for BPH to relax the smooth muscles of the bladder neck and prostate, relieving the obstruction and improving urine flow.

C. Inhibiting the production of dihydrotestosterone (DHT) is the mechanism of action of 5-alpha reductase inhibitors, not alpha-blockers. DHT plays a role in prostate enlargement, and inhibiting its production can reduce the size of the prostate over time.

D. Alpha-blockers do not enhance urine production by the kidneys. They primarily focus on relaxing the smooth muscles to improve urinary flow.

Questions

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

Correct Answer is B

Explanation

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

A nurse is providing education to a client with BPH about managing symptoms. Which statement by the client indicates a need for further teaching?

A nurse is educating a client about risk factors for developing BPH. Which risk factor should the nurse include in the teaching?

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

A client asks the nurse, "What is Benign Prostatic Hyperplasia?" Which response by the nurse is most appropriate?

A nurse is assessing a client with BPH and notes that the client has a distended bladder and reports difficulty starting the urinary stream. What intervention should the nurse prioritize?

A nurse is reviewing the results of a client's urinalysis as part of the diagnostic evaluation for BPH. Which finding should the nurse expect to be associated with BPH?