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

Answer and Explanation

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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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.

A. Remove the entire prostate gland B. Relieve urinary retention C. Reduce prostate size D. Improve fertility

Correct Answer is C

Explanation

A. Transurethral resection of the prostate (TURP) is a surgical procedure that removes only a portion of the enlarged prostate gland, not the entire gland.

B. This is a potential benefit of TURP, but the primary purpose of the procedure is to reduce the size of the prostate to relieve urinary obstruction and improve urinary flow.

C. This is the correct answer. TURP is performed to reduce the size of the prostate gland, which is causing urinary obstruction due to BPH.

D. TURP does not have a direct impact on fertility, as it does not affect the production or release of sperm.

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A client with lower urinary tract symptoms (LUTS) seeks medical advice. The nurse anticipates that the initial diagnostic evaluation for BPH will likely include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

Correct Answer is B

Explanation

A nurse is providing preoperative education to a client scheduled for a transurethral resection of the prostate (TURP) for BPH. The nurse should inform the client about the purpose of this surgical procedure, which is to:

Correct Answer is C

Explanation

A nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve:

A client with BPH is experiencing urinary frequency and urgency. Which dietary modification should the nurse recommend to the client to help manage these symptoms?

A nurse is reviewing the discharge instructions for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which activity restriction should the nurse include in the education?

A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

A client asks the nurse, "What is Benign Prostatic Hyperplasia?" Which response by the nurse is most appropriate?

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

A client with BPH is prescribed an alpha-blocker medication. The nurse should instruct the client about which potential side effect of this medication?

A client with suspected BPH is scheduled for a prostate-specific antigen (PS