A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

The procedure will involve a biopsy of the prostate gland.

The client will need to fast for 8 hours before the procedure.

An enema will be given before the procedure to cleanse the rectum.

The client may experience mild discomfort during the procedure.

Answer and Explanation

The Correct Answer is D

A. A transrectal ultrasound (TRUS) is a diagnostic imaging procedure that uses sound waves to create images of the prostate gland. It does not involve a biopsy of the prostate gland.

B. Fasting is not necessary for a transrectal ultrasound (TRUS). It is a non-invasive procedure and does not require any special preparation, such as fasting.

C. While a clean bowel is preferable for a transrectal ultrasound, it does not typically require an enema. The client may be asked to empty the rectum with a bowel movement before the procedure.

D. This is the correct answer. During a transrectal ultrasound (TRUS), a lubricated probe is inserted into the rectum to obtain images of the prostate gland. Some clients may experience mild discomfort or pressure during the procedure, but it is generally well-tolerated.

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Correct Answer is B

Explanation

A) This statement is not correct. BPH is a non-cancerous condition, not a malignant tumor.

B) This is the correct answer. BPH is characterized by the enlargement of the prostate gland, which is non-cancerous and benign.

C) This statement is not correct. BPH is not an infection of the prostate gland but rather an enlargement.

D) This statement is not correct. BPH does not involve the absence of the prostate gland; it is an enlargement of the gland.

A. Acute urinary retention B. Chronic kidney disease C. Urethral stricture D. Prostate cancer

Correct Answer is A

Explanation

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.

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A nurse is preparing a client for a transrectal ultrasound (TRUS) to evaluate the prostate gland. What information should the nurse provide to the client about the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse, "What is Benign Prostatic Hyperplasia?" Which response by the nurse is most appropriate?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

A client with BPH is experiencing acute urinary retention and is unable to void. The nurse should anticipate the healthcare provider to recommend:

A nurse is teaching a client with BPH about the importance of regular follow-up appointments. Which statement by the client indicates understanding of the teaching?

A nurse is educating a client about risk factors for developing BPH. Which risk factor should the nurse include in the teaching?

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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:

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

A client with BPH is experiencing urinary frequency and urgency. Which dietary modification should the nurse recommend to the client to help manage these symptoms?