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.”

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Respiratory distress is not a typical complication of Benign Prostatic Hyperplasia (BPH).

BPH primarily affects the urinary system by obstructing the urethra due to prostate enlargement, leading to urinary symptoms.

Respiratory distress is not directly related to this condition.

Choice C rationale:

Elevated blood pressure is not a common complication of BPH.

BPH primarily affects the urinary system and does not directly impact blood pressure regulation.

Choice D rationale:

Decreased appetite is not a known complication of BPH.

BPH primarily affects the urinary system, causing urinary symptoms, and is not associated with changes in appetite.

Choice B rationale:

Acute urinary retention is a potential complication that the nurse should monitor for in a client with BPH.

When the prostate gland becomes significantly enlarged, it can obstruct the urethra, leading to a sudden inability to urinate.

This condition, known as acute urinary retention, can be painful and requires immediate medical intervention.

Therefore, the nurse should closely monitor the client for signs and symptoms of acute urinary retention, such as severe lower abdominal pain and the inability to pass urine.

A. "BPH occurs due to an excess of estrogen in the body.” B. "The prostate gland shrinks in size, causing urinary symptoms.” C. "Hormonal changes, particularly an increase in DHT, lead to prostate tissue overgrowth.” D. "BPH is caused by an infection in the urinary tract.”

Correct Answer is C

Explanation

Choice A rationale:

This statement is incorrect.

BPH is not primarily caused by an excess of estrogen.

While hormonal changes are involved, it is the increase in dihydrotestosterone (DHT), a derivative of testosterone, that leads to prostate tissue overgrowth.

Choice B rationale:

This statement is incorrect.

The prostate gland in BPH does not shrink but rather enlarges, leading to urinary symptoms.

Choice C rationale:

This is the correct answer.

BPH is caused by hormonal changes, particularly an increase in dihydrotestosterone (DHT), which leads to prostate tissue overgrowth.

Choice D rationale:

This statement is incorrect.

BPH is not caused by an infection in the urinary tract.

While urinary tract infections (UTIs) can cause similar symptoms, they are not the underlying cause of BPH.

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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?

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Naxlex Comprehensive Predictor Exams

A client with Benign Prostatic Hyperplasia (BPH) reports experiencing urinary urgency and nocturia.What potential complication should the nurse monitor for in this client?

Correct Answer is B

Explanation

A client with Benign Prostatic Hyperplasia (BPH) asks the nurse about the cause of their urinary symptoms.Which response by the nurse accurately explains the pathophysiology of BPH?

Correct Answer is C

Explanation

A nurse is conducting a nursing assessment on a patient with Benign Prostatic Hyperplasia (BPH).Select all the appropriate clinical presentations and symptoms associated with BPH that the nurse should assess for.

A nurse is providing education to a group of older male clients about preventing Benign Prostatic Hyperplasia (BPH).Which statement by the nurse is accurate regarding prevention strategies?

A nurse is discussing risk factors for Benign Prostatic Hyperplasia (BPH) with a group of patients.Which factors should the nurse include in the discussion?

A nurse is assessing a patient with Polycystic Ovary Syndrome (PCOS). Which clinical presentations are commonly associated with PCOS? Select all that apply.

A client recently diagnosed with Benign Prostatic Hyperplasia (BPH) asks the nurse about lifestyle changes to prevent further complications.Which statement by the nurse provides accurate guidance?

A client with BPH is experiencing acute urinary retention.What is the nurse's priority intervention?

A client with BPH is prescribed medication to relieve symptoms and reduce prostate size.What class of medications, commonly used for this purpose, should the client expect to take?

A nurse is educating a group of patients with BPH about self-management strategies.Select all the appropriate self-management strategies for BPH.

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?