A nurse is caring for a client with BPH who suddenly reports severe pain in the lower abdomen, groin, and testicles. The nurse should suspect:
Urinary tract infection
Testicular cancer
Kidney stones
Prostate cancer
The Correct Answer is C
A. While urinary tract infections can occur in clients with BPH, they do not typically present with severe pain in the lower abdomen, groin, and testicles.
B. Testicular cancer does not typically cause pain in the lower abdomen and is not directly related to BPH.
C. This is the correct answer. Severe pain in the lower abdomen, groin, and testicles can be indicative of kidney stones, which may occur as a complication of BPH. Urinary retention and stasis in the bladder can lead to the formation of stones.
D. Prostate cancer may cause symptoms similar to BPH, but sudden severe pain in the lower abdomen, groin, and testicles is not a typical presentation of prostate cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Relaxing the smooth muscles in the bladder neck is the action of alpha-blockers, not 5-alpha reductase inhibitors.
B. This is the correct answer. 5-alpha reductase inhibitors work by blocking the enzyme 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is involved in the growth of the prostate gland, and reducing its levels can help shrink the prostate and improve urinary flow in BPH.
C. Inhibiting bacterial growth in the prostate gland is the action of antibiotics, not 5-alpha reductase inhibitors.
D. Contracting the prostate gland is not a desired effect in BPH management.
Correct Answer is B
Explanation
A. The prostate-specific antigen (PSA. test is not specific to BPH diagnosis. Elevated PSA levels can be seen in both BPH and prostate cancer, but it is not used solely for BPH diagnosis.
B. This is the correct answer. The PSA test is primarily used as a screening tool for prostate cancer. Elevated PSA levels may indicate the presence of prostate cancer and can prompt further evaluation.
C. The PSA test is not used to assess renal function. It is specifically related to prostate health and prostate cancer screening.
D. The evaluation of urinary flow rate is typically done through urodynamic studies and flowmetry tests, not the PSA test.
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