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 D
Explanation
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.
Correct Answer is D
Explanation
A. Increased urinary frequency is a common symptom of BPH, but it is not directly related to bladder outlet obstruction. It is a result of reduced bladder capacity due to the obstruction.
B. Nocturia is the need to wake up at night to urinate and can be caused by reduced bladder capacity and increased urine production at night due to BPH. However, it is not as indicative of bladder outlet obstruction as difficulty emptying the bladder.
C. Hematuria (blood in the urinE. can be a sign of various urinary tract disorders but is not a specific symptom of bladder outlet obstruction.
D. This is the correct answer. Difficulty emptying the bladder is a hallmark symptom of bladder outlet obstruction caused by an enlarged prostate in BPH.
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