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A client with BPH is experiencing urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:

A.

Prostate massage

B.

Double voiding technique

C.

Catheterization

D.

Pelvic floor exercises

Answer and Explanation

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.


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Related Questions

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

Correct Answer is D

Explanation

A. Clamping the catheter is not recommended, as it can cause urinary retention and obstruct urine flow.

B. Cleansing around the catheter insertion site with alcohol is not recommended, as it may cause skin irritation. The site should be cleaned with mild soap and water.

C. Securing the catheter to the leg with a safety pin is not recommended, as it may cause trauma to the catheter and increase the risk of infection.

D. This is the correct answer. Clients should be instructed to report any signs of catheter blockage or leakage to their healthcare provider. Catheter blockage can lead to urinary retention, and leakage may indicate a problem with the catheter or the drainage system.

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