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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increased urinary frequency is a common symptom of BPH, but it is not directly related to bladder outlet obstruction. It is a result of reduced bladder capacity due to the obstruction.
B. Nocturia is the need to wake up at night to urinate and can be caused by reduced bladder capacity and increased urine production at night due to BPH. However, it is not as indicative of bladder outlet obstruction as difficulty emptying the bladder.
C. Hematuria (blood in the urinE. can be a sign of various urinary tract disorders but is not a specific symptom of bladder outlet obstruction.
D. This is the correct answer. Difficulty emptying the bladder is a hallmark symptom of bladder outlet obstruction caused by an enlarged prostate in BPH.
Correct Answer is B
Explanation
A. Resuming normal activities immediately after a TURP is not recommended. The client should gradually resume activities as advised by the healthcare provider.
B. This is the correct answer. After a TURP, the client is at risk of developing a UTI due to catheter use and bladder manipulation. The nurse should monitor for signs of infection, such as fever, dysuria, or cloudy urine.
C. Avoiding all fluid intake for 24 hours is not appropriate, as it can lead to dehydration and other complications. Adequate hydration is essential for postoperative recovery.
D. Administering anticoagulant medications may not be necessary after a TURP unless specifically ordered by the healthcare provider. The nurse should follow the prescribed medication regimen and monitor for bleeding complications.
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