A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

Relaxing the smooth muscles in the bladder neck

Blocking the conversion of testosterone to dihydrotestosterone (DHT)

Inhibiting bacterial growth in the prostate gland

Contracting the prostate gland

Answer and Explanation

The Correct Answer is B

A. Relaxing the smooth muscles in the bladder neck is the action of alpha-blockers, not 5-alpha reductase inhibitors.

B. This is the correct answer. 5-alpha reductase inhibitors work by blocking the enzyme 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is involved in the growth of the prostate gland, and reducing its levels can help shrink the prostate and improve urinary flow in BPH.

C. Inhibiting bacterial growth in the prostate gland is the action of antibiotics, not 5-alpha reductase inhibitors.

D. Contracting the prostate gland is not a desired effect in BPH management.

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Correct Answer is B

Explanation

A. Increased 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. 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.

C. Decreased fluid intake may contribute to urinary stasis and an increased risk of UTIs, but it is not specific to BPH.

D. Reduced bladder capacity is not a contributing factor to recurrent UTIs in BPH.

A. "You should clamp the catheter when you're feeling the urge to urinate." B. "Cleanse around the catheter insertion site daily with alcohol." C. "Secure the catheter to your leg using a safety pin." D. "Report any signs of catheter blockage or leakage to your healthcare provider."

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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A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize that this complication is likely due to:

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client who underwent a TURP for BPH. Which instruction should the nurse include regarding catheter care?

Correct Answer is D

Explanation

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