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

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. This statement is correct. Caffeinated beverages can irritate the bladder and worsen BPH symptoms, so it's best to avoid them.

B. This statement is incorrect. Limiting fluid intake, especially in the evening, can help reduce nighttime urination in clients with BPH.

C. This statement is correct. Pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic muscles and improve urine flow in BPH.

D. This statement is incorrect. Over-the-counter cold medications containing decongestants can worsen BPH symptoms by constricting blood vessels, including those in the prostate, and can lead to urinary retention.

A. Increased urine output B. Residual urine in the bladder C. Decreased fluid intake D. Reduced bladder capacity

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.

View Question and Answer

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with BPH about managing symptoms. Which statement by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize that this complication is likely due to:

Correct Answer is B

Explanation

A client with BPH is experiencing urinary frequency and urgency. Which dietary modification should the nurse recommend to the client to help manage these symptoms?

A client is diagnosed with BPH and is experiencing difficulty starting a urine stream. The nurse should recognize this as a common symptom due to:

A client with BPH is experiencing acute urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize this as a potential complication due to:

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?

A nurse is reviewing the results of a client's urinalysis as part of the diagnostic evaluation for BPH. Which finding should the nurse expect to be associated with BPH?

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?

A nurse is reviewing the discharge instructions for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which activity restriction should the nurse include in the education?