A nurse is assessing a patient with benign prostatic hyperplasia (BPH).
Which treatment option is most suitable for a patient with mild symptoms or who is asymptomatic?
"I think I need surgery to remove the prostate.”
"I should start taking antibiotics immediately.”
"I'll try lifestyle modifications and watchful waiting.”
"I need a bladder scan to check for stones.”
The Correct Answer is C
Choice A rationale:
Surgery to remove the prostate is typically considered for patients with severe symptoms of BPH or when conservative measures are ineffective.
It is not the most suitable treatment option for a patient with mild symptoms or who is asymptomatic.
Choice B rationale:
Antibiotics are not the primary treatment for BPH.
BPH is a non-infectious condition, and antibiotics are used to treat infections.
Antibiotics are not indicated for the management of mild BPH symptoms or asymptomatic patients.
Choice D rationale:
A bladder scan to check for stones is not the most suitable initial treatment option for a patient with mild BPH symptoms or who is asymptomatic.
Bladder stones can occur as a complication of untreated BPH, but it is not the first-line approach for managing mild cases.
Choice C rationale:
Lifestyle modifications and watchful waiting are appropriate for a patient with mild symptoms or who is asymptomatic.
This approach involves monitoring the patient's condition, making dietary and lifestyle changes, and providing education on urinary symptoms.
It allows the patient to avoid invasive treatments unless their symptoms worsen, making it a suitable initial option for this population.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Monitoring blood pressure is not the top priority during the assessment of a client with suspected BPH.
While assessing blood pressure is essential in nursing care, in this context, it is not the most immediate concern.
BPH primarily affects the urinary system, so assessing urinary patterns and related symptoms should take precedence.
Choice B rationale:
Asking about dairy product consumption is not the top priority when assessing a client with suspected BPH.
While dietary factors can influence prostate health, the primary focus in the assessment should be on urinary symptoms and patterns related to BPH.
Choice C rationale:
Inquiring about the client's exercise routine is not the top priority during the assessment of a client with suspected BPH.
While exercise can be beneficial for overall health, it is not the immediate concern when assessing a client for BPH.
Urinary symptoms and patterns should be the main focus.
Choice D rationale:
Conducting a thorough urinary pattern assessment is the top priority during the assessment of a client with suspected BPH.
BPH primarily affects the urinary system by causing urinary obstruction and lower urinary tract symptoms.
Assessing urinary patterns, such as frequency, urgency, and difficulty in initiating and maintaining a urine stream, is crucial in evaluating the severity of the condition and planning appropriate interventions.
Correct Answer is B
Explanation
Choice A rationale:
Anticoagulants are not used to treat BPH.
Anticoagulants are medications that help prevent blood clot formation, not related to managing BPH symptoms or reducing prostate size.
Choice B rationale:
Alpha-blockers like tamsulosin are commonly prescribed for clients with BPH.
These medications help relax the muscles in the prostate and bladder neck, reducing urinary symptoms such as difficulty urinating and frequent urination.
They do not affect blood thickness or clotting.
Choice C rationale:
Antifungal drugs are used to treat fungal infections and have no role in managing BPH symptoms or reducing prostate size.
Choice D rationale:
Antidepressants are not typically prescribed to manage BPH symptoms or pain associated with BPH.
They are used to treat mood disorders and are not relevant to this condition.
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