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 C
Explanation
A. Overflow urinary incontinence is characterized by constant or frequent dribbling of urine due to the bladder's inability to empty fully. It is not specifically related to postvoid dribbling.
B. Stress urinary incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, or laughing. It is not directly related to postvoid dribbling.
C. This is the correct answer. Postvoid dribbling refers to the leakage of urine that occurs immediately after completing urination. It is often seen in clients with BPH due to the enlarged prostate obstructing the urethra, leading to incomplete bladder emptying and residual urine left in the urethra.
D. Urinary urgency is the sudden and strong desire to urinate and is not specifically related to postvoid dribbling.
Correct Answer is D
Explanation
A. Reduced urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.
B. Increased fluid intake is not directly related to the risk of recurrent UTIs in BPH.
C. Decreased prostate size is not associated with recurrent UTIs in BPH.
D. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.
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