A client with BPH is prescribed a combination therapy of an alpha-blocker and a 5-alpha reductase inhibitor. The nurse should explain that this combination is used to:

Prevent recurrent urinary tract infections

Improve erectile dysfunction

Enhance the effects of both medications

Reduce the risk of urinary incontinence

Answer and Explanation

The Correct Answer is C

A. Preventing recurrent urinary tract infections is not the primary purpose of combination therapy with an alpha-blocker and a 5-alpha reductase inhibitor.

B. While some improvement in erectile function may occur with alpha-blockers, the primary purpose of the combination therapy is not to address erectile dysfunction.

C. This is the correct answer. The combination of an alpha-blocker and a 5-alpha reductase inhibitor is used to enhance the effects of both medications. Alpha-blockers help relieve urinary symptoms quickly by relaxing the smooth muscles of the prostate and bladder neck, while 5-alpha reductase inhibitors work over time to shrink the prostate and improve urinary flow.

D. Reducing the risk of urinary incontinence is not the primary goal of combination therapy with these medications.

Questions

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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. The procedure will involve a biopsy of the prostate gland. B. The client will need to fast for 8 hours before the procedure. C. An enema will be given before the procedure to cleanse the rectum. D. The client may experience mild discomfort during the procedure.

Correct Answer is D

Explanation

A. A transrectal ultrasound (TRUS) is a diagnostic imaging procedure that uses sound waves to create images of the prostate gland. It does not involve a biopsy of the prostate gland.

B. Fasting is not necessary for a transrectal ultrasound (TRUS). It is a non-invasive procedure and does not require any special preparation, such as fasting.

C. While a clean bowel is preferable for a transrectal ultrasound, it does not typically require an enema. The client may be asked to empty the rectum with a bowel movement before the procedure.

D. This is the correct answer. During a transrectal ultrasound (TRUS), a lubricated probe is inserted into the rectum to obtain images of the prostate gland. Some clients may experience mild discomfort or pressure during the procedure, but it is generally well-tolerated.

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A client with BPH is prescribed a combination therapy of an alpha-blocker and a 5-alpha reductase inhibitor. The nurse should explain that this combination is used to:

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 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?

Correct Answer is D

Explanation

A nurse is reviewing the discharge instructions for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which activity restriction should the nurse include in the education?

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 nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve:

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

A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

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

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: