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?
Encourage the client to increase fluid intake.
Assist the client in finding a comfortable position for voiding.
Teach the client relaxation techniques to reduce stress.
Catheterize the client to relieve urinary retention.
The Correct Answer is D
A. Encouraging the client to increase fluid intake would be inappropriate in this case, as the client already has a distended bladder and difficulty starting the urinary stream, which are signs of urinary retention.
B. While assisting the client in finding a comfortable position for voiding is important, it will not relieve the current urinary retention.
C. Teaching the client relaxation techniques is beneficial for overall health, but it will not address the immediate issue of urinary retention.
D. This is the correct answer. Catheterization is necessary to relieve urinary retention and drain the distended bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Urinary retention refers to the inability to completely empty the bladder, leading to a sensation of fullness in the lower abdomen and difficulty voiding.
B. Urinary urgency is the sudden and strong desire to urinate.
C. Urinary frequency is the need to urinate more often than usual.
D. Nocturia is the need to wake up at night to urinate.
Correct Answer is C
Explanation
A. Increasing calcium intake is not specifically indicated for managing urinary frequency and urgency in clients with BPH.
B. Limiting fluid intake, especially in the evening, may help reduce nighttime urination, but it is not advisable to restrict fluids excessively, as dehydration can lead to other health problems.
C. This is the correct answer. Caffeine and alcohol are diuretics that can increase urine production and exacerbate urinary frequency and urgency in clients with BPH. Recommending the avoidance of these substances may help alleviate symptoms.
D. Eating a high-protein diet is not specifically indicated for managing urinary frequency and urgency in clients with BPH.
Questions
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.