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

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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Correct Answer is A

Explanation

A. This is the correct answer. Difficulty starting the urinary stream and a feeling of incomplete bladder emptying are common symptoms of urinary retention, a complication of BPH. In BPH, the enlarged prostate obstructs the flow of urine from the bladder, leading to incomplete emptying and retention.

B. Hematuria, or blood in the urine, is not typically associated with BPH but may occur in other conditions affecting the urinary tract.

C. Stress incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing or sneezing, and is not specific to BPH.

D. Urgency is the sudden and strong need to urinate, and it is not specifically associated with BPH.

A. Reducing the size of the prostate B. Relaxing the smooth muscles of the bladder neck and prostate C. Inhibiting the production of dihydrotestosterone (DHT) D. Enhancing urine production by the kidneys

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

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as:

Correct Answer is A

Explanation

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

Correct Answer is B

Explanation

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?

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