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. Alpha-blockers do not directly reduce the size of the prostate gland. They work by relaxing the smooth muscles of the bladder neck and prostate, improving urinary flow and reducing obstructive voiding symptoms.

B. This is the correct answer. Alpha-blockers are commonly prescribed for BPH to relax the smooth muscles of the bladder neck and prostate, relieving the obstruction and improving urine flow.

C. Inhibiting the production of dihydrotestosterone (DHT) is the mechanism of action of 5-alpha reductase inhibitors, not alpha-blockers. DHT plays a role in prostate enlargement, and inhibiting its production can reduce the size of the prostate over time.

D. Alpha-blockers do not enhance urine production by the kidneys. They primarily focus on relaxing the smooth muscles to improve urinary flow.

Questions

A. Digital rectal exam (DRE) B. Prostate-specific antigen (PSA) blood test C. Transrectal ultrasound (TRUS) D. Urinalysis

Correct Answer is A

Explanation

A) This is the correct answer. A digital rectal exam (DRE) involves the insertion of a gloved, lubricated finger into the rectum to feel the size, shape, and texture of the prostate gland. It helps assess for enlargement and any abnormalities.

B) The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood, which may be elevated in various prostate conditions, including BPH. However, it does not directly assess the size and shape of the prostate gland.

C) Transrectal ultrasound (TRUS) uses sound waves to create images of the prostate gland and is used to assess the prostate's size and identify any abnormalities.

D) Urinalysis is a urine test that evaluates the urine's physical and chemical properties but does not directly assess the size and shape of the prostate gland.

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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 nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

Correct Answer is B

Explanation

A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

Correct Answer is A

Explanation

A client with BPH is experiencing bothersome lower urinary tract symptoms (LUTS). The nurse should anticipate the healthcare provider to prescribe:

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 assessing a client with BPH and notes that the client has a distended bladder and reports difficulty starting the urinary stream. What intervention should the nurse prioritize?

A nurse is providing discharge teaching to a client who underwent a TURP for BPH. Which instruction should the nurse include regarding catheter care?

A client is diagnosed with BPH and is experiencing difficulty starting a urine stream. The nurse should recognize this as a common symptom due to:

A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as:

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

A client with BPH is experiencing recurrent episodes of hematuria. The nurse should recognize this as a potential complication due to: