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. 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. 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.