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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Pain radiating to the left shoulder and worsening with deep breathing (Kehr’s sign) is more indicative of splenic injury, not appendicitis.
B. Pain from appendicitis typically worsens with movement and does not improve with eating; improvement with food is more characteristic of peptic ulcer disease.
C. Left lower quadrant pain is more consistent with diverticulitis, not appendicitis.
D. Right lower quadrant pain at McBurney's point with rebound tenderness is a hallmark sign of acute appendicitis, making this the most indicative finding.
Correct Answer is A
Explanation
Rationale:
A. Electrolyte imbalances, particularly hypokalemia and hyponatremia, are common during an acute exacerbation of ulcerative colitis due to frequent diarrhea. Reviewing these values is the priority because severe imbalances can lead to life-threatening complications.
B. A dietary history is important but not the immediate priority in an acute situation.
C. Checking skin integrity is necessary to prevent breakdown, but it follows after addressing potential systemic issues.
D. Addressing emotional concerns is important for holistic care but is not urgent in the acute phase of illness.
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