A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?
Morning
Afternoon
Evening
Night
The Correct Answer is C
A. Limiting fluid intake in the morning is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.
B. Limiting fluid intake in the afternoon is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.
C. This is the correct answer. Limiting fluid intake in the evening can help reduce the volume of urine produced during the night, thereby decreasing nocturia and nighttime awakenings.
D. Limiting fluid intake at night may cause dehydration and is not recommended. Instead, the client should focus on reducing evening fluid intake to minimize nighttime urine production.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. The client's symptoms of difficulty starting the urinary stream and a weak urine flow, along with a distended bladder and a firm, enlarged prostate on digital rectal examination, suggest acute urinary retention, which is a complication of BPH.
B. Chronic kidney disease is not directly related to the physical findings described in the scenario.
C. Urethral stricture may cause difficulty in starting the urinary stream, but it would not typically present with a distended bladder and an enlarged prostate.
D. Prostate cancer may have similar symptoms to BPH but would not present with acute urinary retention and a distended bladder.
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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