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 A

Explanation

A. This is the correct answer. Difficulty starting a urine stream is a common symptom of BPH and occurs because the enlarged prostate compresses the urethra, obstructing the flow of urine.

B. Bladder spasms causing urinary retention are not a typical symptom of BPH.

C. Excessive fluid intake may lead to increased urinary frequency, but it is not directly related to difficulty starting a urine stream in BPH.

D. An enlarged bladder compressing the urethra is not a common symptom of BPH. Instead, it is the enlarged prostate that causes the obstruction.

A. Infection B. Increased urine output C. Reduced bladder pressure D. Improved urine flow

Correct Answer is A

Explanation

A. This is the correct answer. When a urinary catheter is in place, there is a risk of urinary tract infection due to the introduction of bacteria into the urinary tract.

B. Increased urine output is not a typical complication related to a urinary catheter. The catheter helps drain urine from the bladder, but it does not increase urine production.

C. Reduced bladder pressure may occur when a catheter is draining urine from the bladder, but it is not a complication to monitor for specifically.

D. Improved urine flow is an intended outcome of relieving urinary retention with the catheter, not a complication.

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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 is diagnosed with BPH and is experiencing difficulty starting a urine stream. The nurse should recognize this as a common symptom due to:

Correct Answer is A

Explanation

A nurse is caring for a client with BPH who has a urinary catheter in place after experiencing acute urinary retention. The nurse should monitor the client for which potential complication related to the catheter?

Correct Answer is A

Explanation

A client with BPH is experiencing nocturia and has reported difficulty sleeping due to frequent nighttime urination. The nurse should recognize these symptoms as related to:

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?

A client with suspected BPH is scheduled for a urodynamic study. The nurse should explain that this test is primarily used to:

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

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

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

A client with BPH is experiencing difficulty starting the urine stream and a weak urinary flow. The nurse should identify these symptoms as indicative of: