A nurse is providing preoperative education to a client scheduled for a transurethral resection of the prostate (TURP) for BPH. The nurse should inform the client about the purpose of this surgical procedure, which is to:

Remove the entire prostate gland

Relieve urinary retention

Reduce prostate size

Improve fertility

Answer and Explanation

The Correct Answer is C

A. Transurethral resection of the prostate (TURP) is a surgical procedure that removes only a portion of the enlarged prostate gland, not the entire gland.

B. This is a potential benefit of TURP, but the primary purpose of the procedure is to reduce the size of the prostate to relieve urinary obstruction and improve urinary flow.

C. This is the correct answer. TURP is performed to reduce the size of the prostate gland, which is causing urinary obstruction due to BPH.

D. TURP does not have a direct impact on fertility, as it does not affect the production or release of sperm.

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Correct Answer is C

Explanation

A. Stress urinary incontinence is the involuntary loss of urine due to activities that increase intra-abdominal pressure, such as coughing or sneezing. It is not related to the symptoms described in the question.

B. Overflow urinary incontinence is characterized by a constant dribbling of urine due to an overdistended bladder. It is typically seen in conditions that obstruct urine flow, such as BPH, but it does not present as difficulty starting the urine stream and a weak flow.

C. This is the correct answer. Difficulty starting the urine stream and a weak urinary flow are common symptoms of urinary retention, a condition in which the bladder does not fully empty during voiding due to an obstruction, such as an enlarged prostate in BPH.

D. Urge urinary incontinence is characterized by a sudden, strong urge to urinate, followed by involuntary urine loss. It is not related to the symptoms described in the question.

Questions

A. Reducing the size of the prostate B. Relaxing the smooth muscles of the bladder neck and prostate C. Inhibiting the production of dihydrotestosterone (DHT) D. Enhancing urine production by the kidneys

Correct Answer is B

Explanation

A. Alpha-blockers do not directly reduce the size of the prostate gland. They work by relaxing the smooth muscles of the bladder neck and prostate, improving urinary flow and reducing obstructive voiding symptoms.

B. This is the correct answer. Alpha-blockers are commonly prescribed for BPH to relax the smooth muscles of the bladder neck and prostate, relieving the obstruction and improving urine flow.

C. Inhibiting the production of dihydrotestosterone (DHT) is the mechanism of action of 5-alpha reductase inhibitors, not alpha-blockers. DHT plays a role in prostate enlargement, and inhibiting its production can reduce the size of the prostate over time.

D. Alpha-blockers do not enhance urine production by the kidneys. They primarily focus on relaxing the smooth muscles to improve urinary flow.

Questions

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A nurse is providing preoperative education to a client scheduled for a transurethral resection of the prostate (TURP) for BPH. The nurse should inform the client about the purpose of this surgical procedure, which is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing difficulty starting the urine stream and a weak urinary flow. The nurse should identify these symptoms as indicative of:

Correct Answer is C

Explanation

A nurse is caring for a client with BPH who has been prescribed an alpha-blocker. The nurse should anticipate that this medication will primarily work by:

Correct Answer is B

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

A nurse is assessing a client with suspected BPH. Which symptom is most indicative of bladder outlet obstruction?

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

A client with BPH is experiencing recurrent episodes of hematuria. The nurse should recognize this as a potential complication due to:

A client with suspected BPH is scheduled for a urodynamic study. The nurse should explain that this test is primarily used to:

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 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?