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.

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Correct Answer is D

Explanation

A. A transrectal ultrasound (TRUS) is a diagnostic imaging procedure that uses sound waves to create images of the prostate gland. It does not involve a biopsy of the prostate gland.

B. Fasting is not necessary for a transrectal ultrasound (TRUS). It is a non-invasive procedure and does not require any special preparation, such as fasting.

C. While a clean bowel is preferable for a transrectal ultrasound, it does not typically require an enema. The client may be asked to empty the rectum with a bowel movement before the procedure.

D. This is the correct answer. During a transrectal ultrasound (TRUS), a lubricated probe is inserted into the rectum to obtain images of the prostate gland. Some clients may experience mild discomfort or pressure during the procedure, but it is generally well-tolerated.

A. "I will schedule a follow-up appointment in two years." B. "I should return for a follow-up appointment in six months." C. "I can skip follow-up appointments if I'm feeling better." D. "I only need to see the healthcare provider if new symptoms arise."

Correct Answer is B

Explanation

A. Scheduling a follow-up appointment in two years is too long of an interval for a client with BPH. Regular follow-up is essential for monitoring the condition and adjusting the treatment plan as needed.

B. This is the correct answer. Clients with BPH should have regular follow-up appointments, typically every six months, to monitor symptoms and treatment effectiveness.

C. Skipping follow-up appointments, even if the client is feeling better, is not advisable. Regular monitoring is essential to ensure optimal management of BPH.

D. Waiting for new symptoms to arise before seeking a follow-up appointment may delay necessary interventions and could lead to worsening of symptoms.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

Correct Answer is D

Explanation

A nurse is teaching a client with BPH about the importance of regular follow-up appointments. Which statement by the client indicates understanding of the teaching?

Correct Answer is B

Explanation

A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

A nurse is educating a client about the symptoms of BPH. Which symptom should the nurse include in the teaching as a potential complication of BPH?

A nurse is educating a client about risk factors for developing BPH. Which risk factor should the nurse include in the teaching?

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

A client with suspected BPH is scheduled for a urodynamic study. The nurse should explain that this test is primarily used to:

A client with BPH is experiencing bothersome lower urinary tract symptoms (LUTS). The nurse should anticipate the healthcare provider to prescribe:

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?

A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as: