A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as:
Urinary retention
Hematuria
Stress incontinence
Urgency
The Correct Answer is A
A. This is the correct answer. Difficulty starting the urinary stream and a feeling of incomplete bladder emptying are common symptoms of urinary retention, a complication of BPH. In BPH, the enlarged prostate obstructs the flow of urine from the bladder, leading to incomplete emptying and retention.
B. Hematuria, or blood in the urine, is not typically associated with BPH but may occur in other conditions affecting the urinary tract.
C. Stress incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing or sneezing, and is not specific to BPH.
D. Urgency is the sudden and strong need to urinate, and it is not specifically associated with BPH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Overflow urinary incontinence is characterized by constant or frequent dribbling of urine due to the bladder's inability to empty fully. It is not specifically related to postvoid dribbling.
B. Stress urinary incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not directly related to postvoid dribbling.
C. This is the correct answer. Postvoid dribbling refers to the leakage of urine that occurs immediately after completing urination. It is often seen in clients with BPH due to the enlarged prostate obstructing the urethra, leading to incomplete bladder emptying and residual urine left in the urethra.
D. Urinary urgency is the sudden and strong desire to urinate and is not specifically related to postvoid dribbling.
Correct Answer is C
Explanation
A. Prostate massage is not recommended for clients with urinary retention due to BPH. It can cause the spread of infection or worsen inflammation.
B. The double voiding technique is used to empty the bladder more completely, but it may not be effective in cases of urinary retention.
C. This is the correct answer. Catheterization is often necessary to relieve urinary retention in clients with BPH. It involves inserting a catheter into the bladder to drain the urine.
D. Pelvic floor exercises are helpful for strengthening pelvic muscles but are not a primary intervention for relieving urinary retention.
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