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 ["B","C","D"]
Explanation
Choice A rationale:
"Regular menstrual cycles." This statement is not typically associated with PCOS.
Women with PCOS often experience irregular menstrual cycles or even amenorrhea (lack of menstruation).
Irregular ovulation is a common feature of PCOS.
Choice B rationale:
"Hirsutism." This statement is correct.
Hirsutism, the growth of excess facial and body hair in a male pattern, is a common clinical presentation in individuals with PCOS.
It is due to elevated levels of androgens (male hormones) in PCOS.
Choice C rationale:
"Infertility." This statement is correct.
Infertility is a common issue for women with PCOS.
The hormonal imbalances and irregular ovulation associated with PCOS can make it challenging for affected individuals to conceive.
Choice D rationale:
"Acne." This statement is correct.
Acne is a common dermatological manifestation of PCOS.
Elevated androgen levels can lead to increased sebum production and acne development.
Choice E rationale:
"Decreased levels of luteinizing hormone (LH)." This statement is not associated with PCOS.
As mentioned earlier, PCOS is characterized by an elevated LH-to-FSH ratio, not decreased LH levels.
Correct Answer is C
Explanation
Choice A rationale:
"I'll measure the patient's blood sugar levels." This choice is not relevant to the assessment of benign prostatic hyperplasia (BPH).
BPH primarily affects the prostate gland and does not have a direct connection to blood sugar levels.
Assessing blood sugar levels would be more pertinent in conditions like diabetes.
Choice B rationale:
"I'll assess the patient's joint mobility." Assessing joint mobility is unrelated to the evaluation of BPH.
Joint mobility assessments are typically performed in the context of musculoskeletal or orthopedic issues, not in the assessment of prostate conditions.
Choice D rationale:
"I'll check for signs of respiratory distress." Checking for signs of respiratory distress is not directly related to the assessment of BPH.
Respiratory distress is more commonly associated with lung or cardiac issues.
The primary focus in assessing BPH is the prostate gland and urinary symptoms, not respiratory symptoms.
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