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 B
Explanation
A. Young age is not a risk factor for developing BPH. BPH is more common in older men, typically over the age of 50.
B. This is the correct answer. Family history of BPH is considered a risk factor, suggesting a genetic predisposition to developing the condition.
C. High intake of dairy products is not a well-established risk factor for BPH. However, some studies have suggested a potential link between calcium intake and BPH risk, but more research is needed.
D. A sedentary lifestyle may contribute to overall health issues but is not a specific risk factor for BPH.
Correct Answer is B
Explanation
A. Increased urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.
B. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.
C. Decreased fluid intake may contribute to urinary stasis and an increased risk of UTIs, but it is not specific to BPH.
D. Reduced bladder capacity is not a contributing factor to recurrent UTIs in BPH.
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