A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?
Reduced urine output
Increased fluid intake
Decreased prostate size
Residual urine in the bladder
The Correct Answer is D
A. Reduced 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. Increased fluid intake is not directly related to the risk of recurrent UTIs in BPH.
C. Decreased prostate size is not associated with recurrent UTIs in BPH.
D. 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. When a urinary catheter is in place, there is a risk of urinary tract infection due to the introduction of bacteria into the urinary tract.
B. Increased urine output is not a typical complication related to a urinary catheter. The catheter helps drain urine from the bladder, but it does not increase urine production.
C. Reduced bladder pressure may occur when a catheter is draining urine from the bladder, but it is not a complication to monitor for specifically.
D. Improved urine flow is an intended outcome of relieving urinary retention with the catheter, not a complication.
Correct Answer is C
Explanation
A. Overflow urinary incontinence is characterized by constant or frequent dribbling of urine due to the bladder's inability to empty fully. It is not specifically related to postvoid dribbling.
B. Stress urinary incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not directly related to postvoid dribbling.
C. This is the correct answer. Postvoid dribbling refers to the leakage of urine that occurs immediately after completing urination. It is often seen in clients with BPH due to the enlarged prostate obstructing the urethra, leading to incomplete bladder emptying and residual urine left in the urethra.
D. Urinary urgency is the sudden and strong desire to urinate and is not specifically related to postvoid dribbling.
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