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. Alpha-blockers are commonly prescribed as the first-line medication for BPH. They relax the smooth muscles in the prostate and bladder neck, improving urinary flow and reducing LUTS.

B. Antibiotics are prescribed if the client has a urinary tract infection, but they do not directly address BPH symptoms.

C. Diuretics are not typically used to treat BPH.

D. Anticholinergics are used to treat overactive bladder symptoms, which are not specific to BPH-related LUTS.

A. Dysuria (painful urination) B. Hematuria (blood in the urinE. C. Urinary frequency D. Rectal pain and discomfort

Correct Answer is C

Explanation

A. Dysuria can be associated with urinary tract infections but is not a typical symptom of BPH.

B. Hematuria may indicate other urological conditions but is not a primary symptom of BPH.

C. This is the correct answer. Urinary frequency, especially during the night (nocturiA. , is a common symptom of BPH. It occurs due to the enlarged prostate compressing the urethra and obstructing urine flow.

D. Rectal pain and discomfort are not typical symptoms of BPH.

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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 bothersome lower urinary tract symptoms (LUTS). The nurse should anticipate the healthcare provider to prescribe:

Correct Answer is A

Explanation

A nurse is assessing a client with suspected BPH. Which symptom is most commonly associated with this condition?

Correct Answer is C

Explanation

A nurse is assessing a client with suspected BPH. Which symptom is most indicative of bladder outlet obstruction?

A nurse is caring for a client with BPH who suddenly reports severe pain in the lower abdomen, groin, and testicles. The nurse should suspect:

A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

A nurse is teaching a client with BPH about the importance of regular follow-up appointments. Which statement by the client indicates understanding of the teaching?

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 prostate-specific antigen (PS

A nurse is providing education to a client with BPH about managing symptoms. Which statement by the client indicates a need for further teaching?

A client with BPH complains of dribbling and difficulty fully emptying the bladder after urination. The nurse should identify these symptoms as indicative of: