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

test. The nurse should explain that this test is primarily used to:A. Diagnose BPH

Screen for prostate cancer

Assess renal function

Evaluate urinary flow rate

Answer and Explanation

The Correct Answer is B

A. The prostate-specific antigen (PSA. test is not specific to BPH diagnosis. Elevated PSA levels can be seen in both BPH and prostate cancer, but it is not used solely for BPH diagnosis.

B. This is the correct answer. The PSA test is primarily used as a screening tool for prostate cancer. Elevated PSA levels may indicate the presence of prostate cancer and can prompt further evaluation.

C. The PSA test is not used to assess renal function. It is specifically related to prostate health and prostate cancer screening.

D. The evaluation of urinary flow rate is typically done through urodynamic studies and flowmetry tests, not the PSA test.

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Correct Answer is B

Explanation

A. Decreased urine production is not a common complication of BPH. Instead, BPH leads to urinary retention and incomplete bladder emptying.

B. This is the correct answer. BPH can lead to urinary retention, allowing bacteria to multiply and colonize the prostate, increasing the risk of recurrent UTIs.

C. Increased bladder capacity is not a complication of BPH. Instead, the enlarged prostate obstructs the flow of urine, leading to urinary retention and incomplete emptying.

D. Inadequate fluid intake may contribute to UTIs, but the primary reason for recurrent UTIs in BPH is the bacterial colonization of the prostate due to urinary retention.

A. Relaxing the smooth muscles in the bladder neck B. Blocking the conversion of testosterone to dihydrotestosterone (DHT) C. Inhibiting bacterial growth in the prostate gland D. Contracting the prostate gland

Correct Answer is B

Explanation

A. Relaxing the smooth muscles in the bladder neck is the action of alpha-blockers, not 5-alpha reductase inhibitors.

B. This is the correct answer. 5-alpha reductase inhibitors work by blocking the enzyme 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is involved in the growth of the prostate gland, and reducing its levels can help shrink the prostate and improve urinary flow in BPH.

C. Inhibiting bacterial growth in the prostate gland is the action of antibiotics, not 5-alpha reductase inhibitors.

D. Contracting the prostate gland is not a desired effect in BPH management.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

Correct Answer is B

Explanation

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

A nurse is assessing a client with suspected BPH. Which symptom is most indicative of bladder outlet obstruction?

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

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

A client with BPH is experiencing urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:

A nurse is caring for a client with BPH who has a urinary catheter in place after experiencing acute urinary retention. The nurse should monitor the client for which potential complication related to the catheter?

A nurse is teaching a client with BPH about the importance of regular follow-up appointments. Which statement by the client indicates understanding of the teaching?