A nurse is assisting the registered nurse conduct an admission assessment of a client with benign prostatic hypertrophy (BPH). The client states they avoid social events due to this condition. Which of the following client findings should the nurse expect to find in the assessment? (Select all that apply.)

B. Tamsulosin use and adverse effects

Rationale: Tamsulosin is an alpha-1 blocker commonly prescribed to alleviate BPH symptoms. Education should include how to take the medication, its purpose, and potential side effects, such as dizziness, headache, or orthostatic hypotension.

C. Urinary tract infection manifestations

Rationale: BPH can increase the risk of urinary tract infections (UTIs) due to urinary retention. The client should be aware of symptoms like burning during urination, frequent urination, or cloudy urine to seek timely medical attention.

E. Signs of worsening BPH

Rationale: It's essential for clients to recognize signs that their BPH is worsening, such as severe urinary retention, acute urinary obstruction, or significant changes in urinary patterns. This helps in early intervention and prevents complications.

F. Lifestyle modifications for managing symptoms

Rationale: Clients should be educated on lifestyle changes that can help manage BPH symptoms, such as avoiding caffeine and alcohol, reducing fluid intake before bedtime, and practicing pelvic floor exercises.

Note:

A. Increasing exercise

Rationale: While exercise is beneficial for overall health, it is not specifically targeted for managing BPH symptoms. It can be part of a healthy lifestyle but isn't a primary focus of BPH-specific education.

D. A diet low in calcium oxalate

Rationale: A diet low in calcium oxalate is typically recommended for individuals with kidney stones, not specifically for BPH management.

A. Pain with urination: Pain during urination is not typically a common symptom of BPH. It's more commonly associated with urinary tract infections (UTIs) rather than solely due to BPH.

B. Urination at night: Frequent urination, especially at night (nocturia), is a common symptom of BPH. As the prostate enlarges, it can obstruct the urethra, leading to incomplete emptying of the bladder, and causing increased urination, especially during the night.

C. Swelling around the eyes: Swelling around the eyes is not a direct symptom of BPH. It's more commonly related to other conditions like allergies or fluid retention but not specifically associated with BPH.

D. Difficulty getting the urine stream started: This is a hallmark symptom of BPH. Enlargement of the prostate can obstruct the urethra, leading to difficulty initiating urination or a weak urine stream.