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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Radiation therapy is not a first-line treatment for BPH. It is primarily used for certain types of cancer treatment.
B. Hormone therapy may be used for advanced cases of BPH, but it is not typically the initial management.
C. This is the correct answer. Watchful waiting, also known as active surveillance, is often the initial management for mild to moderate BPH. It involves close monitoring of symptoms and the prostate's size without immediate intervention unless symptoms worsen or complications arise.
D. Invasive surgery is usually reserved for severe cases of BPH that do not respond to conservative management or when complications occur.
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.
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