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 D
Explanation
A. This statement is correct. Caffeinated beverages can irritate the bladder and worsen BPH symptoms, so it's best to avoid them.
B. This statement is incorrect. Limiting fluid intake, especially in the evening, can help reduce nighttime urination in clients with BPH.
C. This statement is correct. Pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic muscles and improve urine flow in BPH.
D. This statement is incorrect. Over-the-counter cold medications containing decongestants can worsen BPH symptoms by constricting blood vessels, including those in the prostate, and can lead to urinary retention.
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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