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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Limiting fluid intake in the morning is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.

B. Limiting fluid intake in the afternoon is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.

C. This is the correct answer. Limiting fluid intake in the evening can help reduce the volume of urine produced during the night, thereby decreasing nocturia and nighttime awakenings.

D. Limiting fluid intake at night may cause dehydration and is not recommended. Instead, the client should focus on reducing evening fluid intake to minimize nighttime urine production.

Questions

A. Digital rectal exam (DRE) B. Prostate-specific antigen (PSA) blood test C. Transrectal ultrasound (TRUS) D. Urinalysis

Correct Answer is A

Explanation

A) This is the correct answer. A digital rectal exam (DRE) involves the insertion of a gloved, lubricated finger into the rectum to feel the size, shape, and texture of the prostate gland. It helps assess for enlargement and any abnormalities.

B) The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood, which may be elevated in various prostate conditions, including BPH. However, it does not directly assess the size and shape of the prostate gland.

C) Transrectal ultrasound (TRUS) uses sound waves to create images of the prostate gland and is used to assess the prostate's size and identify any abnormalities.

D) Urinalysis is a urine test that evaluates the urine's physical and chemical properties but does not directly assess the size and shape of the prostate gland.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

Correct Answer is C

Explanation

A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

Correct Answer is A

Explanation

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