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:

Reducing the size of the prostate

Relaxing the smooth muscles of the bladder neck and prostate

Inhibiting the production of dihydrotestosterone (DHT)

Enhancing urine production by the kidneys

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

A. Young age is not a risk factor for developing BPH. BPH is more common in older men, typically over the age of 50.

B. This is the correct answer. Family history of BPH is considered a risk factor, suggesting a genetic predisposition to developing the condition.

C. High intake of dairy products is not a well-established risk factor for BPH. However, some studies have suggested a potential link between calcium intake and BPH risk, but more research is needed.

D. A sedentary lifestyle may contribute to overall health issues but is not a specific risk factor for BPH.

A. Increase calcium intake B. Limit fluid intake C. Avoid caffeine and alcohol D. Eat a high-protein diet

Correct Answer is C

Explanation

A. Increasing calcium intake is not specifically indicated for managing urinary frequency and urgency in clients with BPH.

B. Limiting fluid intake, especially in the evening, may help reduce nighttime urination, but it is not advisable to restrict fluids excessively, as dehydration can lead to other health problems.

C. This is the correct answer. Caffeine and alcohol are diuretics that can increase urine production and exacerbate urinary frequency and urgency in clients with BPH. Recommending the avoidance of these substances may help alleviate symptoms.

D. Eating a high-protein diet is not specifically indicated for managing urinary frequency and urgency in clients with BPH.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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