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 A

Explanation

A. This is the correct answer. In cases of acute urinary retention, immediate relief is achieved through catheterization to drain the bladder and relieve the obstruction caused by the enlarged prostate.

B. Medications to reduce bladder spasms may be used as an adjunct to catheterization in managing urinary retention but are not the primary intervention for relieving the obstruction.

C. Invasive surgical intervention may be considered for persistent or severe cases of BPH, but it is not the initial step in managing acute urinary retention.

D. Increased fluid intake may be beneficial for overall bladder health but will not directly relieve the obstruction causing acute urinary retention.

Questions

A. Encourage the client to increase fluid intake. B. Assist the client in finding a comfortable position for voiding. C. Teach the client relaxation techniques to reduce stress. D. Catheterize the client to relieve urinary retention.

Correct Answer is D

Explanation

A. Encouraging the client to increase fluid intake would be inappropriate in this case, as the client already has a distended bladder and difficulty starting the urinary stream, which are signs of urinary retention.

B. While assisting the client in finding a comfortable position for voiding is important, it will not relieve the current urinary retention.

C. Teaching the client relaxation techniques is beneficial for overall health, but it will not address the immediate issue of urinary retention.

D. This is the correct answer. Catheterization is necessary to relieve urinary retention and drain the distended bladder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is assessing a client with BPH and notes that the client has a distended bladder and reports difficulty starting the urinary stream. What intervention should the nurse prioritize?

Correct Answer is D

Explanation

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

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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?

A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as:

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

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