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. 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.

A. While urinary tract infections can occur in clients with BPH, they do not typically present with severe pain in the lower abdomen, groin, and testicles.

B. Testicular cancer does not typically cause pain in the lower abdomen and is not directly related to BPH.

C. This is the correct answer. Severe pain in the lower abdomen, groin, and testicles can be indicative of kidney stones, which may occur as a complication of BPH. Urinary retention and stasis in the bladder can lead to the formation of stones.

D. Prostate cancer may cause symptoms similar to BPH, but sudden severe pain in the lower abdomen, groin, and testicles is not a typical presentation of prostate cancer.