A client with lower urinary tract symptoms (LUTS) seeks medical advice. The nurse anticipates that the initial diagnostic evaluation for BPH will likely include:
Digital rectal examination (DRE.
Prostate-specific antigen (PSA. test
Transrectal ultrasound (TRUS)
Urinalysis
The Correct Answer is A
A. This is the correct answer. A digital rectal examination (DRE. is typically the first step in the diagnostic evaluation of BPH. During a DRE, the healthcare provider can assess the size, shape, and consistency of the prostate gland to identify any enlargement or abnormalities.
B. The prostate-specific antigen (PSA. test is used to screen for prostate cancer, not specifically for BPH. While elevated PSA levels can be seen in both conditions, the DRE is usually the initial step for BPH evaluation.
C. Transrectal ultrasound (TRUS) is a diagnostic test used to assess the prostate gland's size and characteristics in more detail. It is often performed in conjunction with other tests, but it is not typically the initial step in the diagnostic evaluation of BPH.
D. A urinalysis is a general test used to assess the urine's appearance, specific gravity, and the presence of blood, proteins, and other substances. While it can provide information about kidney function and potential urinary tract infections, it is not specific to BPH.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The presence of glucose in the urine is indicative of diabetes mellitus and is not directly related to BPH.
B. An elevated white blood cell count in the urine may indicate a urinary tract infection or inflammation but is not specific to BPH.
C. The presence of bacteria in the urine is indicative of a urinary tract infection and is not specific to BPH.
D. This is the correct answer. Hematuria (blood in the urinE. can be associated with BPH due to irritation or trauma to the urinary tract caused by the enlarged prostate. Hematuria may be gross (visiblE. or microscopic and should be further evaluated to determine its cause.
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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