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.
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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Naxlex Comprehensive Predictor Exams
Related 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.
Correct Answer is A
Explanation
A. This is the correct answer. Alpha-blockers are commonly prescribed as the first-line medication for BPH. They relax the smooth muscles in the prostate and bladder neck, improving urinary flow and reducing LUTS.
B. Antibiotics are prescribed if the client has a urinary tract infection, but they do not directly address BPH symptoms.
C. Diuretics are not typically used to treat BPH.
D. Anticholinergics are used to treat overactive bladder symptoms, which are not specific to BPH-related LUTS.
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