A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

Digital rectal exam (DRE)

Prostate-specific antigen (PSA) blood test

Transrectal ultrasound (TRUS)

Urinalysis

Answer and Explanation

The Correct Answer is A

A) This is the correct answer. A digital rectal exam (DRE) involves the insertion of a gloved, lubricated finger into the rectum to feel the size, shape, and texture of the prostate gland. It helps assess for enlargement and any abnormalities.

B) The prostate-specific antigen (PSA) blood test measures the level of PSA in the blood, which may be elevated in various prostate conditions, including BPH. However, it does not directly assess the size and shape of the prostate gland.

C) Transrectal ultrasound (TRUS) uses sound waves to create images of the prostate gland and is used to assess the prostate's size and identify any abnormalities.

D) Urinalysis is a urine test that evaluates the urine's physical and chemical properties but does not directly assess the size and shape of the prostate gland.

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Correct Answer is D

Explanation

A. Reduced urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.

B. Increased fluid intake is not directly related to the risk of recurrent UTIs in BPH.

C. Decreased prostate size is not associated with recurrent UTIs in BPH.

D. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.

A. Urinary retention B. Urinary urgency C. Urinary frequency D. Nocturia

Correct Answer is A

Explanation

A. This is the correct answer. Urinary retention refers to the inability to completely empty the bladder, leading to a sensation of fullness in the lower abdomen and difficulty voiding.

B. Urinary urgency is the sudden and strong desire to urinate.

C. Urinary frequency is the need to urinate more often than usual.

D. Nocturia is the need to wake up at night to urinate.

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A nurse is reviewing the diagnostic tests used to confirm BPH in a client. Which test directly assesses the size and shape of the prostate gland?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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