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. Limiting fluid intake to avoid urinary urgency is not necessary after a TURP. Adequate hydration is essential for promoting urinary flow and preventing urinary tract infections.

B. This is the correct answer. After a TURP, sexual activity is usually restricted for at least two weeks to allow for proper healing and to reduce the risk of complications, such as bleeding or infection.

C. Restricting walking and physical activity is not necessary after a TURP. Encouraging early ambulation is important for preventing complications and promoting recovery.

D. Avoiding sitting for extended periods is not a specific activity restriction after a TURP.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

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 nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

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

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 with BPH complains of difficulty starting a urine stream and a weak urine flow. The nurse should recognize these symptoms as indicative of:

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

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

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: