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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Related Questions
Correct Answer is D
Explanation
A. The presence of glucose in the urine is indicative of diabetes mellitus and is not directly related to BPH.
B. An elevated white blood cell count in the urine may indicate a urinary tract infection or inflammation but is not specific to BPH.
C. The presence of bacteria in the urine is indicative of a urinary tract infection and is not specific to BPH.
D. This is the correct answer. Hematuria (blood in the urinE. can be associated with BPH due to irritation or trauma to the urinary tract caused by the enlarged prostate. Hematuria may be gross (visiblE. or microscopic and should be further evaluated to determine its cause.
Correct Answer is D
Explanation
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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