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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This is the correct answer. In cases of acute urinary retention, immediate relief is achieved through catheterization to drain the bladder and relieve the obstruction caused by the enlarged prostate.

B. Medications to reduce bladder spasms may be used as an adjunct to catheterization in managing urinary retention but are not the primary intervention for relieving the obstruction.

C. Invasive surgical intervention may be considered for persistent or severe cases of BPH, but it is not the initial step in managing acute urinary retention.

D. Increased fluid intake may be beneficial for overall bladder health but will not directly relieve the obstruction causing acute urinary retention.

Questions

A. "I should avoid drinking caffeinated beverages." B. "I will limit my fluid intake to reduce nighttime urination." C. "I can try pelvic floor exercises to improve urine flow." D. "I will take over-the-counter cold medications to relieve symptoms."

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.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing acute urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize this as a potential complication due to:

A nurse is reviewing the results of a client's urinalysis as part of the diagnostic evaluation for BPH. Which finding should the nurse expect to be associated with BPH?

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 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:

A nurse is assessing a client with BPH and notes that the client has a distended bladder and reports difficulty starting the urinary stream. What intervention should the nurse prioritize?

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

A client with suspected BPH is scheduled for a urodynamic study. The nurse should explain that this test is primarily used to: