A nurse is providing education to a client with BPH about managing symptoms. Which statement by the client indicates a need for further teaching?

"I should avoid drinking caffeinated beverages."

"I will limit my fluid intake to reduce nighttime urination."

"I can try pelvic floor exercises to improve urine flow."

"I will take over-the-counter cold medications to relieve symptoms."

Answer and Explanation

The Correct Answer is D

A. This statement is correct. Caffeinated beverages can irritate the bladder and worsen BPH symptoms, so it's best to avoid them.

B. This statement is incorrect. Limiting fluid intake, especially in the evening, can help reduce nighttime urination in clients with BPH.

C. This statement is correct. Pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic muscles and improve urine flow in BPH.

D. This statement is incorrect. Over-the-counter cold medications containing decongestants can worsen BPH symptoms by constricting blood vessels, including those in the prostate, and can lead to urinary retention.

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Correct Answer is A

Explanation

A. This is the correct answer. When a urinary catheter is in place, there is a risk of urinary tract infection due to the introduction of bacteria into the urinary tract.

B. Increased urine output is not a typical complication related to a urinary catheter. The catheter helps drain urine from the bladder, but it does not increase urine production.

C. Reduced bladder pressure may occur when a catheter is draining urine from the bladder, but it is not a complication to monitor for specifically.

D. Improved urine flow is an intended outcome of relieving urinary retention with the catheter, not a complication.

A. Prevent recurrent urinary tract infections B. Improve erectile dysfunction C. Enhance the effects of both medications D. Reduce the risk of urinary incontinence

Correct Answer is C

Explanation

A. Preventing recurrent urinary tract infections is not the primary purpose of combination therapy with an alpha-blocker and a 5-alpha reductase inhibitor.

B. While some improvement in erectile function may occur with alpha-blockers, the primary purpose of the combination therapy is not to address erectile dysfunction.

C. This is the correct answer. The combination of an alpha-blocker and a 5-alpha reductase inhibitor is used to enhance the effects of both medications. Alpha-blockers help relieve urinary symptoms quickly by relaxing the smooth muscles of the prostate and bladder neck, while 5-alpha reductase inhibitors work over time to shrink the prostate and improve urinary flow.

D. Reducing the risk of urinary incontinence is not the primary goal of combination therapy with these medications.

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A nurse is providing education to a client with BPH about managing symptoms. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with BPH who has a urinary catheter in place after experiencing acute urinary retention. The nurse should monitor the client for which potential complication related to the catheter?

Correct Answer is A

Explanation

A client with BPH is prescribed a combination therapy of an alpha-blocker and a 5-alpha reductase inhibitor. The nurse should explain that this combination is used to:

Correct Answer is C

Explanation

A client with BPH is prescribed an alpha-blocker medication. The nurse should instruct the client about which potential side effect of this medication?

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

A nurse is reviewing the discharge instructions for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which activity restriction should the nurse include in the education?

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

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 is diagnosed with BPH and is experiencing difficulty starting a urine stream. The nurse should recognize this as a common symptom due to:

A client with BPH is prescribed a 5-alpha reductase inhibitor. The nurse should instruct the client that this medication works by:

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?