A nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve:

Radiation therapy

Hormone therapy

Watchful waiting

Invasive surgery

Answer and Explanation

The Correct Answer is C

A. Radiation therapy is not a first-line treatment for BPH. It is primarily used for certain types of cancer treatment.

B. Hormone therapy may be used for advanced cases of BPH, but it is not typically the initial management.

C. This is the correct answer. Watchful waiting, also known as active surveillance, is often the initial management for mild to moderate BPH. It involves close monitoring of symptoms and the prostate's size without immediate intervention unless symptoms worsen or complications arise.

D. Invasive surgery is usually reserved for severe cases of BPH that do not respond to conservative management or when complications occur.

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Correct Answer is B

Explanation

A. Resuming normal activities immediately after a TURP is not recommended. The client should gradually resume activities as advised by the healthcare provider.

B. This is the correct answer. After a TURP, the client is at risk of developing a UTI due to catheter use and bladder manipulation. The nurse should monitor for signs of infection, such as fever, dysuria, or cloudy urine.

C. Avoiding all fluid intake for 24 hours is not appropriate, as it can lead to dehydration and other complications. Adequate hydration is essential for postoperative recovery.

D. Administering anticoagulant medications may not be necessary after a TURP unless specifically ordered by the healthcare provider. The nurse should follow the prescribed medication regimen and monitor for bleeding complications.

A. The procedure will involve a biopsy of the prostate gland. B. The client will need to fast for 8 hours before the procedure. C. An enema will be given before the procedure to cleanse the rectum. D. The client may experience mild discomfort during the procedure.

Correct Answer is D

Explanation

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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A nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who underwent a TURP for BPH. Which instruction should the nurse include regarding catheter care?

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should recognize that this complication is likely due to:

A client with lower urinary tract symptoms (LUTS) seeks medical advice. The nurse anticipates that the initial diagnostic evaluation for BPH will likely include:

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

A client with BPH complains of dribbling and difficulty fully emptying the bladder after urination. The nurse should identify these symptoms as indicative of:

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

A client with BPH complains of difficulty starting a urine stream and a weak urine flow. The nurse should recognize these symptoms as indicative of: