A nurse is caring for a client with BPH who has a urinary catheter in place after experiencing acute urinary retention. The nurse should monitor the client for which potential complication related to the catheter?
Infection
Increased urine output
Reduced bladder pressure
Improved urine flow
The Correct Answer is A
A. This is the correct answer. When a urinary catheter is in place, there is a risk of urinary tract infection due to the introduction of bacteria into the urinary tract.
B. Increased urine output is not a typical complication related to a urinary catheter. The catheter helps drain urine from the bladder, but it does not increase urine production.
C. Reduced bladder pressure may occur when a catheter is draining urine from the bladder, but it is not a complication to monitor for specifically.
D. Improved urine flow is an intended outcome of relieving urinary retention with the catheter, not a complication.
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Related Questions
Correct Answer is B
Explanation
A. Alpha-blockers do not directly reduce the size of the prostate gland. They work by relaxing the smooth muscles of the bladder neck and prostate, improving urinary flow and reducing obstructive voiding symptoms.
B. This is the correct answer. Alpha-blockers are commonly prescribed for BPH to relax the smooth muscles of the bladder neck and prostate, relieving the obstruction and improving urine flow.
C. Inhibiting the production of dihydrotestosterone (DHT) is the mechanism of action of 5-alpha reductase inhibitors, not alpha-blockers. DHT plays a role in prostate enlargement, and inhibiting its production can reduce the size of the prostate over time.
D. Alpha-blockers do not enhance urine production by the kidneys. They primarily focus on relaxing the smooth muscles to improve urinary flow.
Questions
Correct Answer is A
Explanation
A. This is the correct answer. Nocturia and frequent nighttime urination in clients with BPH are often due to decreased bladder capacity. BPH causes obstruction of the urinary outflow, leading to incomplete bladder emptying during the day and increased urine volume at night.
B. Nocturnal enuresis refers to involuntary nighttime urination in children and is not relevant to this scenario.
C. While hormonal changes may play a role in the development of BPH, they are not directly related to nocturia and frequent nighttime urination.
D. Urinary retention may cause decreased frequency of urination rather than nocturia and frequent nighttime urination.
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