A nurse is assessing a client with BPH who complains of difficulty starting the urinary stream and a weak urine flow. The nurse observes that the client's bladder is distended and palpates a firm, enlarged prostate on digital rectal examination. The nurse should recognize these findings as suggestive of:
Acute urinary retention
Chronic kidney disease
Urethral stricture
Prostate cancer
The Correct Answer is A
A. This is the correct answer. The client's symptoms of difficulty starting the urinary stream and a weak urine flow, along with a distended bladder and a firm, enlarged prostate on digital rectal examination, suggest acute urinary retention, which is a complication of BPH.
B. Chronic kidney disease is not directly related to the physical findings described in the scenario.
C. Urethral stricture may cause difficulty in starting the urinary stream, but it would not typically present with a distended bladder and an enlarged prostate.
D. Prostate cancer may have similar symptoms to BPH but would not present with acute urinary retention and a distended bladder.
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Correct Answer is D
Explanation
A. Increased urinary frequency is a common symptom of BPH, but it is not directly related to bladder outlet obstruction. It is a result of reduced bladder capacity due to the obstruction.
B. Nocturia is the need to wake up at night to urinate and can be caused by reduced bladder capacity and increased urine production at night due to BPH. However, it is not as indicative of bladder outlet obstruction as difficulty emptying the bladder.
C. Hematuria (blood in the urinE. can be a sign of various urinary tract disorders but is not a specific symptom of bladder outlet obstruction.
D. This is the correct answer. Difficulty emptying the bladder is a hallmark symptom of bladder outlet obstruction caused by an enlarged prostate in BPH.
Correct Answer is C
Explanation
A. Dysuria can be associated with urinary tract infections but is not a typical symptom of BPH.
B. Hematuria may indicate other urological conditions but is not a primary symptom of BPH.
C. This is the correct answer. Urinary frequency, especially during the night (nocturiA. , is a common symptom of BPH. It occurs due to the enlarged prostate compressing the urethra and obstructing urine flow.
D. Rectal pain and discomfort are not typical symptoms of BPH.
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