A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

A. This is the correct answer. The client's symptoms of difficulty starting the urinary stream and a weak urine flow, along with a distended bladder and a firm, enlarged prostate on digital rectal examination, suggest acute urinary retention, which is a complication of BPH.

B. Chronic kidney disease is not directly related to the physical findings described in the scenario.

C. Urethral stricture may cause difficulty in starting the urinary stream, but it would not typically present with a distended bladder and an enlarged prostate.

D. Prostate cancer may have similar symptoms to BPH but would not present with acute urinary retention and a distended bladder.

A. Limiting fluid intake in the morning is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.

B. Limiting fluid intake in the afternoon is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.

C. This is the correct answer. Limiting fluid intake in the evening can help reduce the volume of urine produced during the night, thereby decreasing nocturia and nighttime awakenings.

D. Limiting fluid intake at night may cause dehydration and is not recommended. Instead, the client should focus on reducing evening fluid intake to minimize nighttime urine production.

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