A client with BPH is experiencing urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:
Prostate massage
Double voiding technique
Catheterization
Pelvic floor exercises
The Correct Answer is C
A. Prostate massage is not recommended for clients with urinary retention due to BPH. It can cause the spread of infection or worsen inflammation.
B. The double voiding technique is used to empty the bladder more completely, but it may not be effective in cases of urinary retention.
C. This is the correct answer. Catheterization is often necessary to relieve urinary retention in clients with BPH. It involves inserting a catheter into the bladder to drain the urine.
D. Pelvic floor exercises are helpful for strengthening pelvic muscles but are not a primary intervention for relieving urinary retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A urodynamic study is not used to determine the size of the prostate gland. It is primarily focused on assessing bladder and urinary function.
B. A urodynamic study is not used to assess renal function and kidney health. It is a diagnostic test focused on evaluating the lower urinary tract and bladder function.
C. This is the correct answer. A urodynamic study is a diagnostic test used to evaluate the pressure and flow of urine during voiding. It provides valuable information about the lower urinary tract's function, including bladder capacity, detrusor muscle activity, and the presence of any obstructions or abnormalities.
D. A urodynamic study is not used to evaluate the bladder's capacity directly, but it does assess bladder function during voiding.
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.
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