A nurse is assessing a 72-year-old male client who reports difficulty urinating. Which of the following assessment findings is most indicative of Benign Prostatic Hyperplasia (BPHI?
Cloudy urine with a strong odor
Weak urinary stream and feeling of incomplete bladder emptying
Burning sensation during urination
Hematuria
The Correct Answer is B
Rationale:
A. Cloudy urine with a strong odor suggests a urinary tract infection rather than BPH.
B. Weak urinary stream and the sensation of incomplete bladder emptying are classic symptoms of Benign Prostatic Hyperplasia (BPH), caused by prostate enlargement obstructing urine flow.
C. Burning during urination is more indicative of infection or inflammation (e.g., cystitis or urethritis).
D. Hematuria can occur with various urinary tract conditions but is not a primary symptom of BPH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A low-bacteria diet is more relevant for clients with neutropenia, not thrombocytopenia.
B. Removing fresh flowers is also a precaution for infection prevention in immunocompromised (neutropenic) patients, not bleeding risk.
C. Family members wearing masks is an infection control measure for clients with low white blood cell counts, not low platelets.
D. A platelet count of 20,000 cells/mm³ indicates severe thrombocytopenia, putting the client at high risk for bleeding. Rectal thermometers can cause mucosal trauma and bleeding and should be avoided. Removing it is the appropriate safety measure in this scenario.
Correct Answer is A
Explanation
Rationale:
A. Absent pulses and a pale foot are signs of compromised circulation, which may indicate compartment syndrome or arterial occlusion. This is a medical emergency requiring immediate evaluation and intervention by the primary care provider.
B. Repositioning the foot may not resolve the issue and delays necessary medical attention.
C. Warming the foot is inappropriate when signs of impaired circulation are present; it can mask symptoms and delay emergency care.
D. Delaying reassessment may result in permanent tissue damage if the issue is not addressed promptly. Immediate action is required.
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