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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Difficulty starting a urine stream is a common symptom of BPH and occurs because the enlarged prostate compresses the urethra, obstructing the flow of urine.
B. Bladder spasms causing urinary retention are not a typical symptom of BPH.
C. Excessive fluid intake may lead to increased urinary frequency, but it is not directly related to difficulty starting a urine stream in BPH.
D. An enlarged bladder compressing the urethra is not a common symptom of BPH. Instead, it is the enlarged prostate that causes the obstruction.
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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